Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults
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Hodgson, Carol L; Stiller, Kathy; Needham, Dale M; Tipping, Claire J; Harrold, Megan; Baldwin, Claire E; Bradley, Scott; Berney, Sue; Caruana, Lawrence R; Elliott, Doug; Green, Margot; Haines, Kimberley; Higgins, Alisa M; Kaukonen, Kirsi-Maija; Leditschke, Isabel; Nickels, Marc R; Paratz, Jennifer; Patman, Shane; Skinner, Elizabeth H; Young, Paul J; Zanni, Jennifer M; Denehy, Linda; Webb, Steven A
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INTRODUCTION The aim of this study was to develop consensus recommendations on safety parameters for mobilizing adult, mechanically ventilated, intensive care unit (ICU) patients. METHODS 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. RESULTS Safety considerations were summarized in four categories: respiratory, cardiovascular, neurological and other. Consensus...[Show more]
dc.contributor.author | Hodgson, Carol L | |
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dc.contributor.author | Stiller, Kathy | |
dc.contributor.author | Needham, Dale M | |
dc.contributor.author | Tipping, Claire J | |
dc.contributor.author | Harrold, Megan | |
dc.contributor.author | Baldwin, Claire E | |
dc.contributor.author | Bradley, Scott | |
dc.contributor.author | Berney, Sue | |
dc.contributor.author | Caruana, Lawrence R | |
dc.contributor.author | Elliott, Doug | |
dc.contributor.author | Green, Margot | |
dc.contributor.author | Haines, Kimberley | |
dc.contributor.author | Higgins, Alisa M | |
dc.contributor.author | Kaukonen, Kirsi-Maija | |
dc.contributor.author | Leditschke, Isabel | |
dc.contributor.author | Nickels, Marc R | |
dc.contributor.author | Paratz, Jennifer | |
dc.contributor.author | Patman, Shane | |
dc.contributor.author | Skinner, Elizabeth H | |
dc.contributor.author | Young, Paul J | |
dc.contributor.author | Zanni, Jennifer M | |
dc.contributor.author | Denehy, Linda | |
dc.contributor.author | Webb, Steven A | |
dc.date.accessioned | 2016-01-18T03:38:12Z | |
dc.date.available | 2016-01-18T03:38:12Z | |
dc.identifier.issn | 1364-8535 | |
dc.identifier.uri | http://hdl.handle.net/1885/95506 | |
dc.description.abstract | INTRODUCTION The aim of this study was to develop consensus recommendations on safety parameters for mobilizing adult, mechanically ventilated, intensive care unit (ICU) patients. METHODS 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. RESULTS 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. CONCLUSION 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. | |
dc.description.sponsorship | CH was supported by an Early Career Research Fellowship from the National Health and Medical Research Council (NHMRC) of Australia and the Australian and New Zealand Intensive Care Research Centre, Monash University. ES was supported employed by Western Health. | |
dc.publisher | BioMed Central | |
dc.rights | © 2014 Hodgson et al.; licensee BioMed Central. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. | |
dc.source | Critical Care | |
dc.title | Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults | |
dc.type | Journal article | |
local.description.notes | Imported from ARIES | |
local.identifier.citationvolume | 18 | |
dc.date.issued | 2014-12-04 | |
local.identifier.absfor | 110310 | |
local.identifier.ariespublication | a383154xPUB1516 | |
local.publisher.url | http://www.biomedcentral.com/ | |
local.type.status | Published Version | |
local.contributor.affiliation | Hodgson, Carol L, Australian and New Zealand Intensive Care Research Centre (ANZIC-RC), Department, Australia | |
local.contributor.affiliation | Stiller, Kathy, Department of Physiotherapy, Australia | |
local.contributor.affiliation | Needham, DM, Outcomes After Critical Illness & Surgery (OACIS) Group, Division of Pulmonary &, United States of America | |
local.contributor.affiliation | Tipping, CJ, Department of Physiotherapy, Australia | |
local.contributor.affiliation | Harrold, M, School of Physiotherapy & Exercise Science, Australia | |
local.contributor.affiliation | Baldwin, CE, School of Health Sciences, Australia | |
local.contributor.affiliation | Bradley, S, Department of Physiotherapy, Australia | |
local.contributor.affiliation | Berney, S, Physiotherapy Department, Australia | |
local.contributor.affiliation | Leditschke, Isabel, College of Medicine, Biology and Environment, CMBE ANU Medical School, ANU Medical School, The Australian National University | |
local.contributor.affiliation | Caruana, LR, The Prince Charles Hospital, Australia | |
local.contributor.affiliation | Elliott, D, Faculty of Health, Australia | |
local.identifier.essn | 1466-609X | |
local.bibliographicCitation.issue | 6 | |
local.bibliographicCitation.startpage | 658 | |
local.identifier.doi | 10.1186/s13054-014-0658-y | |
dc.date.updated | 2016-02-24T08:05:31Z | |
local.identifier.scopusID | 2-s2.0-84927722146 | |
Collections | ANU Research Publications |
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