医学
重症监护医学
重症监护室
禁忌症
康复
机械通风
动员
呼吸保健
病危
患者安全
物理疗法
医疗保健
麻醉
替代医学
考古
经济
病理
历史
经济增长
作者
Carol Hodgson,Kathy Stiller,Dale M. Needham,Claire J Tipping,Megan Harrold,Claire Baldwin,Scott Bradley,Sue Berney,Lawrence R. Caruana,D. J. Elliott,Margot Green,Kimberley Haines,Alisa Higgins,Kirsi‐Maija Kaukonen,I. Anne Leditschke,Marc Nickels,Jennifer Paratz,Shane Patman,Elizabeth H Skinner,Paul Young,Jennifer M. Zanni,Linda Denehy,Steven A R Webb
出处
期刊:Critical Care
[Springer Nature]
日期:2014-12-01
卷期号:18 (6)
被引量:399
标识
DOI:10.1186/s13054-014-0658-y
摘要
The aim of this study was to develop consensus recommendations on safety parameters for mobilizing adult, mechanically ventilated, intensive care unit (ICU) patients. A systematic literature review was followed by a meeting of 23 multidisciplinary ICU experts to seek consensus regarding the safe mobilization of mechanically ventilated patients. Safety considerations were summarized in four categories: respiratory, cardiovascular, neurological and other. Consensus was achieved on all criteria for safe mobilization, with the exception being levels of vasoactive agents. Intubation via an endotracheal tube was not a contraindication to early mobilization and a fraction of inspired oxygen less than 0.6 with a percutaneous oxygen saturation more than 90% and a respiratory rate less than 30 breaths/minute were considered safe criteria for in- and out-of-bed mobilization if there were no other contraindications. At an international meeting, 94 multidisciplinary ICU clinicians concurred with the proposed recommendations. Consensus recommendations regarding safety criteria for mobilization of adult, mechanically ventilated patients in the ICU have the potential to guide ICU rehabilitation whilst minimizing the risk of adverse events.
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