Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults
Introduction: To develop consensus recommendations on safety parameters for mobilizing adult, mechanically ventilated, intensive care unit (ICU) patients. Methods: A systematic literature review followed by a meeting of 23 multidisciplinary ICU experts to seek consensus regarding the safe mobilizati...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Journal Article |
| Published: |
Current Science
2014
|
| Online Access: | http://hdl.handle.net/20.500.11937/39891 |
| _version_ | 1848755717457051648 |
|---|---|
| author | Hodgson, C. Stiller, Kathy Needham, D. Tipping, C. Harrold, Megan Baldwin, C. Bradley, S. Berney, S. Caruana, L. Elliott, D. Green, M. Haines, K. Higgins, A. Kaukonen, K. Leditschke, I. Nickels, M. Paratz, J. Patman, S. Skinner, E. Young, P. Zanni, J. Denehy, L. Webb, S. |
| author_facet | Hodgson, C. Stiller, Kathy Needham, D. Tipping, C. Harrold, Megan Baldwin, C. Bradley, S. Berney, S. Caruana, L. Elliott, D. Green, M. Haines, K. Higgins, A. Kaukonen, K. Leditschke, I. Nickels, M. Paratz, J. Patman, S. Skinner, E. Young, P. Zanni, J. Denehy, L. Webb, S. |
| author_sort | Hodgson, C. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Introduction: To develop consensus recommendations on safety parameters for mobilizing adult, mechanically ventilated, intensive care unit (ICU) patients. Methods: A systematic literature review 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 30breaths/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 ICU have the potential to guide ICU rehabilitation whilst minimizing the risk of adverse events. |
| first_indexed | 2025-11-14T09:00:44Z |
| format | Journal Article |
| id | curtin-20.500.11937-39891 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T09:00:44Z |
| publishDate | 2014 |
| publisher | Current Science |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-398912017-09-13T15:05:23Z Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults Hodgson, C. Stiller, Kathy Needham, D. Tipping, C. Harrold, Megan Baldwin, C. Bradley, S. Berney, S. Caruana, L. Elliott, D. Green, M. Haines, K. Higgins, A. Kaukonen, K. Leditschke, I. Nickels, M. Paratz, J. Patman, S. Skinner, E. Young, P. Zanni, J. Denehy, L. Webb, S. Introduction: To develop consensus recommendations on safety parameters for mobilizing adult, mechanically ventilated, intensive care unit (ICU) patients. Methods: A systematic literature review 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 30breaths/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 ICU have the potential to guide ICU rehabilitation whilst minimizing the risk of adverse events. 2014 Journal Article http://hdl.handle.net/20.500.11937/39891 10.1186/s13054-014-0658-y Current Science fulltext |
| spellingShingle | Hodgson, C. Stiller, Kathy Needham, D. Tipping, C. Harrold, Megan Baldwin, C. Bradley, S. Berney, S. Caruana, L. Elliott, D. Green, M. Haines, K. Higgins, A. Kaukonen, K. Leditschke, I. Nickels, M. Paratz, J. Patman, S. Skinner, E. Young, P. Zanni, J. Denehy, L. Webb, S. Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults |
| title | Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults |
| title_full | Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults |
| title_fullStr | Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults |
| title_full_unstemmed | Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults |
| title_short | Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults |
| title_sort | expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults |
| url | http://hdl.handle.net/20.500.11937/39891 |