Multiprofessional Critical Care Review: Adult (2023)-9: Early Mobility in Critically Ill Patients (Michele Balas, PhD, CRNP)

Video Transcription

Video Summary

In this video, the speaker discusses the importance of early mobility in the care of critically ill patients. They highlight the significance of ICU-acquired weakness and its impact on patient outcomes. The earliest descriptions of ICU-acquired weakness date back to 1915-1956, and over the years, it has been increasingly recognized as a major problem for critically ill patients. Several randomized control trials have been conducted to assess the effects of early mobility as an intervention, with mixed results. Some studies have shown positive outcomes, such as reduced delirium, decreased ICU-acquired weakness, and improved functional independence. However, other studies have not found significant differences in outcomes between intervention and control groups. Factors such as starting the intervention early, the intensity and duration of therapy, and patient characteristics may influence the efficacy of early mobility. Barriers to implementing early mobility include staffing issues, cultural resistance to change, and concerns about patient safety. The speaker emphasizes the importance of interdisciplinary collaboration, including the involvement of physical and occupational therapists, in delivering early mobility interventions. They also recommend evidence-based safety screen criteria to ensure patient safety during early mobility. Additional resources and guidelines are available to support the implementation of early mobility in the ICU.

Keywords

early mobility

critically ill patients

ICU-acquired weakness

patient outcomes

intervention

delirium

functional independence

patient safety

	Society of Critical Care Medicine 500 Midway Drive Mount Prospect, IL 60056 USA Phone: +1 847 827-6888 Fax: +1 847 439-7226 Email: support@sccm.org	Contact Us About SCCM Newsroom Advertising & Sponsorship DONATE	MySCCM LearnICU Patients & Families Surviving Sepsis Campaign Critical Care Societies Collaborative	GET OUR NEWSLETTER
© Society of Critical Care Medicine. All rights reserved. \| Privacy Statement \| Terms & Conditions The Society of Critical Care Medicine, SCCM, and Critical Care Congress are registered trademarks of the Society of Critical Care Medicine.