Journal article
Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults
CL Hodgson, K Stiller, DM Needham, CJ Tipping, M Harrold, CE Baldwin, S Bradley, S Berney, LR Caruana, D Elliott, M Green, K Haines, AM Higgins, KM Kaukonen, IA Leditschke, MR Nickels, J Paratz, S Patman, EH Skinner, PJ Young Show all
Critical Care | Published : 2014
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 fra..
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Funding Acknowledgements
CH conceived of the study, chaired the consensus meeting, coordinated the group and drafted the manuscript. KS provided expert advice on content and manuscript preparation. DN coordinated and chaired the international meeting and recommendations. CT and CH performed the systematic review. MH conceived the traffic-light system of reporting safety of mobilization. SW provided expert advice about the process and manuscript content. All (CH, KS, DN, CT, MH, CB, SB, SueB, LC, DE, MG, KH, AH, KMK, IL, MN, JP, SP, ES, PY, JZ, LD, SW) authors provided information from previous studies, both published and unpublished. All authors provided expert input regarding the recommendations and read and approved the final manuscript. 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.