Early mobilization in intensive care unit in Latin America: A survey based on clinical practice.
Latin America
early mobilization
exercise
intensive care unit
survey
Journal
Frontiers in medicine
ISSN: 2296-858X
Titre abrégé: Front Med (Lausanne)
Pays: Switzerland
ID NLM: 101648047
Informations de publication
Date de publication:
2022
2022
Historique:
received:
28
07
2022
accepted:
28
10
2022
entrez:
8
12
2022
pubmed:
9
12
2022
medline:
9
12
2022
Statut:
epublish
Résumé
The application of early mobilization (EM) in intensive care units (ICUs) has shown to improve the physical and ventilatory status of critically ill patients, even after ICU stay. This study aimed to describe the practices regarding EM in ICUs in Latin America. We conducted an observational, cross-sectional study of professionals from all countries in Latin America. Over 3 months, professionals working in ICU units in Latin America were invited to answer the survey, which was designed by an expert committee and incorporated preliminary questions based on studies about EM recommendations. As many as 174 health professionals from 17 countries completed the survey. The interventions carried out within each ICU were active mobilization (90.5%), passive mobilization (85.0%), manual and instrumental techniques for drainage of mucus secretion (81.8%), and positioning techniques (81%). The professionals who most participated in the rehabilitation process in ICUs were physiotherapists (98.7%), intensive care physicians (61.6%), nurses (56.1%), and respiratory therapists (43.8%). In only 36.1% of the ICUs, protocols were established to determine when a patient should begin EM. In 38.1% of the cases, the onset of EM was established by individual evaluation, and in 25.0% of the cases, it was the medical indication to start rehabilitation and EM. This report shows us that EM of critically ill patients is an established practice in our ICUs like in other developed countries.
Sections du résumé
Background
UNASSIGNED
The application of early mobilization (EM) in intensive care units (ICUs) has shown to improve the physical and ventilatory status of critically ill patients, even after ICU stay. This study aimed to describe the practices regarding EM in ICUs in Latin America.
Methods
UNASSIGNED
We conducted an observational, cross-sectional study of professionals from all countries in Latin America. Over 3 months, professionals working in ICU units in Latin America were invited to answer the survey, which was designed by an expert committee and incorporated preliminary questions based on studies about EM recommendations.
Results
UNASSIGNED
As many as 174 health professionals from 17 countries completed the survey. The interventions carried out within each ICU were active mobilization (90.5%), passive mobilization (85.0%), manual and instrumental techniques for drainage of mucus secretion (81.8%), and positioning techniques (81%). The professionals who most participated in the rehabilitation process in ICUs were physiotherapists (98.7%), intensive care physicians (61.6%), nurses (56.1%), and respiratory therapists (43.8%). In only 36.1% of the ICUs, protocols were established to determine when a patient should begin EM. In 38.1% of the cases, the onset of EM was established by individual evaluation, and in 25.0% of the cases, it was the medical indication to start rehabilitation and EM.
Conclusion
UNASSIGNED
This report shows us that EM of critically ill patients is an established practice in our ICUs like in other developed countries.
Identifiants
pubmed: 36479097
doi: 10.3389/fmed.2022.1005732
pmc: PMC9720404
doi:
Types de publication
Journal Article
Langues
eng
Pagination
1005732Informations de copyright
Copyright © 2022 Barros-Poblete, Bernardes Neto, Benavides-Cordoba, Vieira, Baz, Martí, Spruit and Torres-Castro.
Déclaration de conflit d'intérêts
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Références
PLoS One. 2019 Oct 7;14(10):e0223151
pubmed: 31589642
J Intensive Care Med. 2020 Jan;35(1):55-62
pubmed: 28847238
J Crit Care. 2015 Aug;30(4):664-72
pubmed: 25987293
Rev Bras Ter Intensiva. 2016 Sep;28(3):261-263
pubmed: 27737431
Heart Lung. 2018 Jul - Aug;47(4):386
pubmed: 29885937
Intensive Care Med. 2017 Feb;43(2):171-183
pubmed: 27864615
Turk Thorac J. 2020 Mar 1;21(2):138
pubmed: 32203005
Nurs Crit Care. 2020 Nov;25(6):360-367
pubmed: 31219229
Crit Care Med. 2020 Apr;48(4):562-570
pubmed: 32205603
PLoS One. 2015 Jul 01;10(7):e0130722
pubmed: 26132803
Respir Care. 2011 Mar;56(3):306-13
pubmed: 21235844
Crit Care Med. 2014 May;42(5):1178-86
pubmed: 24351373
Expert Rev Respir Med. 2018 Mar;12(3):203-215
pubmed: 29376440
Arch Phys Med Rehabil. 2013 Mar;94(3):551-61
pubmed: 23127305
Lancet. 2009 May 30;373(9678):1874-82
pubmed: 19446324
Anesth Analg. 2019 Apr;128(4):772-780
pubmed: 30883422
Physiother Theory Pract. 2022 Jul;38(7):908-918
pubmed: 32866055
Arch Intern Med. 2010 Feb 22;170(4):369-76
pubmed: 20177041
J Multidiscip Healthc. 2021 Jul 08;14:1769-1781
pubmed: 34262288
J Physiother. 2017 Jan;63(1):4-10
pubmed: 27989729
Clin Rehabil. 2015 Nov;29(11):1051-63
pubmed: 25681407
Crit Care Med. 2017 Feb;45(2):205-215
pubmed: 27661864
Crit Care Med. 2017 Aug;45(8):1325-1336
pubmed: 28437376
J Cachexia Sarcopenia Muscle. 2010 Dec;1(2):147-157
pubmed: 21475702
Lancet. 2010 Oct 16;376(9749):1339-46
pubmed: 20934212
CMAJ Open. 2016 Aug 18;4(3):E448-E454
pubmed: 27730109
J Med Internet Res. 2004 Sep 29;6(3):e34
pubmed: 15471760
Ann Am Thorac Soc. 2016 May;13(5):724-30
pubmed: 27144796
Crit Care Med. 2009 Oct;37(10 Suppl):S299-308
pubmed: 20046114
J Intensive Care Med. 2019 Mar;34(3):218-226
pubmed: 28355933
Crit Care Explor. 2020 Apr 29;2(4):e0090
pubmed: 32426732
Respir Care. 2012 May;57(5):727-34
pubmed: 22152978