Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults

Hodgson, CL; Stiller, K; Needham, DM; Tipping, CJ; Harrold, M; Baldwin, CE; Bradley, S; Berney, S; Caruana, LR; Elliott, D; Green, M; Haines, K; Higgins, AM; Kaukonen, KM; Leditschke, IA; Nickels, MR; Paratz, J; Patman, S; Skinner, EH; Young, PJ; Zanni, JM; Denehy, L; Webb, SA

Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults

Hodgson, CL Stiller, K Needham, DM Tipping, CJ Harrold, M Baldwin, CE Bradley, S Berney, S Caruana, LR Elliott, D

Green, M Haines, K Higgins, AM Kaukonen, KM Leditschke, IA Nickels, MR Paratz, J Patman, S Skinner, EH Young, PJ Zanni, JM Denehy, L Webb, SA

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Publication Type:: Journal Article
Citation:: Critical Care, 2014, 18 (6)
Issue Date:: 2014-12-04

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Field	Value	Language
dc.contributor.author	Hodgson, CL	en_US
dc.contributor.author	Stiller, K	en_US
dc.contributor.author	Needham, DM	en_US
dc.contributor.author	Tipping, CJ	en_US
dc.contributor.author	Harrold, M	en_US
dc.contributor.author	Baldwin, CE	en_US
dc.contributor.author	Bradley, S	en_US
dc.contributor.author	Berney, S	en_US
dc.contributor.author	Caruana, LR	en_US
dc.contributor.author	Elliott, D https://orcid.org/0000-0002-6081-5442	en_US
dc.contributor.author	Green, M	en_US
dc.contributor.author	Haines, K	en_US
dc.contributor.author	Higgins, AM	en_US
dc.contributor.author	Kaukonen, KM	en_US
dc.contributor.author	Leditschke, IA	en_US
dc.contributor.author	Nickels, MR	en_US
dc.contributor.author	Paratz, J	en_US
dc.contributor.author	Patman, S	en_US
dc.contributor.author	Skinner, EH	en_US
dc.contributor.author	Young, PJ	en_US
dc.contributor.author	Zanni, JM	en_US
dc.contributor.author	Denehy, L	en_US
dc.contributor.author	Webb, SA	en_US
dc.date.available	2014-11-11	en_US
dc.date.issued	2014-12-04	en_US
dc.identifier.citation	Critical Care, 2014, 18 (6)	en_US
dc.identifier.issn	1364-8535	en_US
dc.identifier.uri	http://hdl.handle.net/10453/36711
dc.description.abstract	© 2014 Hodgson et al.; licensee BioMed Central. 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.	en_US
dc.relation.ispartof	Critical Care	en_US
dc.relation.isbasedon	10.1186/s13054-014-0658-y	en_US
dc.subject.classification	Emergency & Critical Care Medicine	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Critical Illness	en_US
dc.subject.mesh	Respiration, Artificial	en_US
dc.subject.mesh	Critical Care	en_US
dc.subject.mesh	Early Ambulation	en_US
dc.subject.mesh	Consensus	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Practice Guidelines as Topic	en_US
dc.subject.mesh	Patient Safety	en_US
dc.title	Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults	en_US
dc.type	Journal Article
utslib.citation.volume	6	en_US
utslib.citation.volume	18	en_US
utslib.for	1110 Nursing	en_US
utslib.for	11 Medical and Health Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	open_access
pubs.issue	6	en_US
pubs.publication-status	Published	en_US
pubs.volume	18	en_US

Abstract:

© 2014 Hodgson et al.; licensee BioMed Central. 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.

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http://hdl.handle.net/10453/36711