Introduction:
ICU-acquired weakness is a collection of dysfunctions experienced by critically ill patients as a consequence of prolonged bed rest. The symptoms that are specifically encountered are poor mobility, impaired muscle strength and diminished cardiopulmonary endurance.
These clinical manifestations are brought by extended immobilization, use of neuromuscular blocking agents and poor nutrition. A physical therapist is a part of a multidisciplinary team that is intended to implement an early mobilization (EM) program from passive ROM exercises to the novel use of cycle ergometer for muscle strengthening.
In this discussion assignment, I will be appraising the quality of the research articles that I have chosen using Jewel 's evidence-based …show more content…
Yes. This research article was published on July 2016 in the Journal of Respiratory Care. It is a peer-reviewed journal.
2. Taito, S., Shime, N., Ota, K., & Yasuda, H. (2016). Early mobilization of mechanically ventilated patients in the intensive care unit. Journal of Intensive Care, 4(50), 1-7. doi:10.1186/s40560-016-0179-7
Strengths: The authors of this article explained the role of the ABCDE bundle (awakening, breathing coordination, delirium monitoring, and early exercise mobilization). Furthermore, the inclusion and exclusion of various criteria and protocols were also mentioned in the study. Moreover, the statistics of healthcare providers adopting the ABCDE bundle was also discussed which is important to know on how widespread this program being utilized worldwide.
Weakness: Taito, Shime, Ota, and Yasuda (2016, p. 6) states that there is a limited trial of the safety and effectiveness of EM, "early" has not been correctly defined and the number of studies included in this trial is not sufficient, and the sample sizes are inadequate.
Do they address the population you are addressing in your project?
Yes. The groups of patients that are involved in this project are the critically ill patients that are mechanically ventilated that experience an ICU-acquired …show more content…
The study design is robust using an RCT, but the sample sizes are small. Additional clinical trials are required to establish the effectiveness of early mobilization in critically ill patients.
Are they current and peer reviewed?
Yes. This research paper was published on July 2016 in the Journal of Intensive Care. It is a peer-reviewed journal.
3. Denehy, L., Lanphere, J., & Needham, D. M. (2016). Ten reasons why ICU patients should be mobilized early. Intensive Care Medicine, 1(1), 1-5. doi:10.1007/s00134-016-4513-2 Strengths:
What I liked about this journal study is that the authors enumerated the advantages of EM of the ICU patients with an incorporation of suggestions if a healthcare provider encountered obstacles.
ICU-acquired weakness is a collection of dysfunctions experienced by critically ill patients as a consequence of prolonged bed rest. The symptoms that are specifically encountered are poor mobility, impaired muscle strength and diminished cardiopulmonary endurance.
These clinical manifestations are brought by extended immobilization, use of neuromuscular blocking agents and poor nutrition. A physical therapist is a part of a multidisciplinary team that is intended to implement an early mobilization (EM) program from passive ROM exercises to the novel use of cycle ergometer for muscle strengthening.
In this discussion assignment, I will be appraising the quality of the research articles that I have chosen using Jewel 's evidence-based …show more content…
Yes. This research article was published on July 2016 in the Journal of Respiratory Care. It is a peer-reviewed journal.
2. Taito, S., Shime, N., Ota, K., & Yasuda, H. (2016). Early mobilization of mechanically ventilated patients in the intensive care unit. Journal of Intensive Care, 4(50), 1-7. doi:10.1186/s40560-016-0179-7
Strengths: The authors of this article explained the role of the ABCDE bundle (awakening, breathing coordination, delirium monitoring, and early exercise mobilization). Furthermore, the inclusion and exclusion of various criteria and protocols were also mentioned in the study. Moreover, the statistics of healthcare providers adopting the ABCDE bundle was also discussed which is important to know on how widespread this program being utilized worldwide.
Weakness: Taito, Shime, Ota, and Yasuda (2016, p. 6) states that there is a limited trial of the safety and effectiveness of EM, "early" has not been correctly defined and the number of studies included in this trial is not sufficient, and the sample sizes are inadequate.
Do they address the population you are addressing in your project?
Yes. The groups of patients that are involved in this project are the critically ill patients that are mechanically ventilated that experience an ICU-acquired …show more content…
The study design is robust using an RCT, but the sample sizes are small. Additional clinical trials are required to establish the effectiveness of early mobilization in critically ill patients.
Are they current and peer reviewed?
Yes. This research paper was published on July 2016 in the Journal of Intensive Care. It is a peer-reviewed journal.
3. Denehy, L., Lanphere, J., & Needham, D. M. (2016). Ten reasons why ICU patients should be mobilized early. Intensive Care Medicine, 1(1), 1-5. doi:10.1007/s00134-016-4513-2 Strengths:
What I liked about this journal study is that the authors enumerated the advantages of EM of the ICU patients with an incorporation of suggestions if a healthcare provider encountered obstacles.