Additional file 2. Physiological responses of physiotherapy session. Values expressed as mean ± standard deviation; IB = In bed, IC = In chair, * different from baseline, ≈ different from 0 min

Antoine Tordeur

Cheryl Elizabeth Hickmann

Diego Castanares-Zapatero

Emilie Bialais

Giuseppe Tirone

Jean Roeseler

Jonathan Dugernier

Lise Colmant

Pierre-François Laterre

Xavier Wittebole

Annals of Intensive Care

PubMed

Additional file 1. Physiological responses during first transfer out of bed. Values expressed as mean ± standard deviation; * different from baseline, ≈ different from 5 min

Cheryl Hickmann (3483293)

Diego Castanares-Zapatero (3483290)

Emilie Bialais (3483299)

Jonathan Dugernier (3445466)

Antoine Tordeur (3483287)

Lise Colmant (3483302)

Xavier Wittebole (55860)

Giuseppe Tirone (3483296)

Jean Roeseler (3445469)

Pierre-François Laterre (3168063)

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MOESM1 of Teamwork enables high level of early mobilization in critically ill patients

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Teamwork enables high level of early mobilization in critically ill patients

BACKGROUND: Early mobilization in critically ill patients has been shown to prevent bed-rest-associated morbidity. Reported reasons for not mobilizing patients, thereby excluding or delaying such intervention, are diverse and comprise safety considerations for high-risk critically ill patients with multiple organ support systems. This study sought to demonstrate that early mobilization performed within the first 24 h of ICU admission proves to be feasible and well tolerated in the vast majority of critically ill patients.
RESULTS: General practice data were collected for 171 consecutive admissions to our ICU over a 2-month period according to a local, standardized, early mobilization protocol. The total period covered 731 patient-days, 22 (3 %) of which met our local exclusion criteria for mobilization. Of the remaining 709 patient-days, early mobilization was achieved on 86 % of them, bed-to-chair transfer on 74 %, and at least one physical therapy session on 59 %. Median time interval from ICU admission to the first early mobilization activity was 19 h (IQR = 15-23). In patients on mechanical ventilation (51 %), accounting for 46 % of patient-days, 35 % were administered vasopressors and 11 % continuous renal replacement therapy. Within this group, bed-to-chair transfer was achieved on 68 % of patient-days and at least one early mobilization activity on 80 %. Limiting factors to start early mobilization included restricted staffing capacities, diagnostic or surgical procedures, patients' refusal, as well as severe hemodynamic instability. Hemodynamic parameters were rarely affected during mobilization, causing interruption in only 0.8 % of all activities, primarily due to reversible hypotension or arrhythmia. In general, all activities were well tolerated, while patients were able to self-regulate their active early mobilization. Patients' subjective perception of physical therapy was reported to be enjoyable.
CONCLUSIONS: Mobilization within the first 24 h of ICU admission is achievable in the majority of critical ill patients, in spite of mechanical ventilation, vasopressor administration, or renal replacement therapy

Hickmann, Cheryl Elizabeth

Castanares Zapatero, Diego

Bialais, Emilie

Dugernier, Jonathan

Tordeur, Antoine

Colmant, Lise

Wittebole, Xavier

Tirone, Giuseppe

Roeseler, Jean

Laterre, Pierre-François

DIAL UCLouvain

Teamwork enables high level of early mobilization in critically ill patients.

MOESM2 of Teamwork enables high level of early mobilization in critically ill patients

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Teamwork enables high level of early mobilization in critically ill patients

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DIAL UCLouvain

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Springer - Publisher Connector