Ten strategies to optimize early mobilization and rehabilitation in intensive care

Abstract

[...]we report on 10 steps to help ICU clinicians in optimizing early mobilization and rehabilitation. Identify barriers and facilitators A systematic review identified 28 unique barriers to early mobilization and rehabilitation, including patient-related barriers (e.g., physiological instability and medical devices), structural barriers (e.g., limited staff and equipment), procedural barriers (e.g., lack of coordination and delayed screening for eligibility), and cultural barriers (e.g., prior staff experience and ICU priorities for patient care) [4]. Additional research is needed to further understand potential benefit or harm. [...]that time, clinician judgement will play an important role and must be tailored to individual patients and to the dynamic nature of critical illness. Waldauf P, Jiroutkova K, Krajcova A, Puthucheary Z, Duska F. Effects of rehabilitation interventions on clinical outcomes in critically Ill patients: systematic review and meta-analysis of randomized controlled trials.