Early Mobilization for Critically Ill Patients

Respir Care. 2023 Jun;68(6):781-795. doi: 10.4187/respcare.10481. Epub 2023 Apr 11.

Abstract

Advances in the field of critical care medicine have helped improve the survival rate of these ill patients. Several studies have demonstrated the potential benefits of early mobilization as an important component of critical care rehabilitation. However, there have been some inconsistent results. Moreover, the lack of standardized mobilization protocols and the associated safety concerns are a barrier to the implementation of early mobilization in critically ill patients. Therefore, determining the appropriate modalities of implementation of early mobilization is a key imperative to leverage its potential in these patients. In this paper, we review the contemporary literature to summarize the strategies for early mobilization of critically ill patients, assess the implementation and validity based on the International Classification of Functioning, Disability and Health, as well as discuss the safety aspects of early mobilization.

Keywords: International Classification of Functioning, Disability and Health; critically ill; early mobilization; rehabilitation.

Publication types

  • Review

MeSH terms

  • Critical Care / methods
  • Critical Illness* / rehabilitation
  • Early Ambulation* / methods
  • Humans
  • Physical Therapy Modalities