Systematic Analysis And Effects Of Early Ambulation Intubated Patients

1280 Words 6 Pages
Introduction:
It is commonly known that patients, particularly the older patient population, decondition rapidly while admitted inpatient to the hospital. This is a result of multiple factors including lack of mobility and disease processes. In the ICU, patients are especially at risk due to the critical nature of their adverse health event and the stress it causes their body. When that patient is intubated and sedated, the toll their hospital stay has on their body worsens.
While today many patients who are intubated are only lightly sedated at most, they usually spend days on end in bed with maybe some in bed physical therapy that is not nearly enough to sustain strength and conditioning. Many hospitals around the country in response to
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680 records were found using Google Scholar. Studies with the term “systematic review” in the abstract were selected and reviewed. Level 1 level of evidence studies used for evidence based practice analysis. Studies that were not in English were excluded as well as studies using patients less than 18 years old, patients not in the ICU/HDU, and non-mechanically ventilated patients. Of those results 3 articles were …show more content…
conducted their research with the goal to determine the effect of early rehabilitation for functional status in ICU/high-dependency unit (HDU) patients. The interventions used by their group consisted of mobilization/rehabilitation vs. usual care. Wherein the mobilized/rehabilitated programs included therapeutic strategies: passive and active range of motion, active side to side turning, cycling in bed, exercises in bed, sitting on the edge of the bed, transferring from bed to a chair, marching on the spot, ambulation, hoist therapy, tilt table, active resistance exercises and electrical muscle stimulation. The interventions completed with the mobilized/rehabilitated patients had to include mode components than the interventions completed with the patients receiving usual care, as well as needing to be performed at a higher or earlier point in time than what patients receiving usual care experienced (Castro-Avila et al., 2015, pg. 4). The effects of the interventions were categorized by Functional status (only 1 study supported this intervention as having a positive influence), Walking ability (there was found to be a significant benefit at discharge with the ability to walk without assistance), Muscle strength (mixed results in favor of both early mobilization and usual care), Quality of life (Improved scores), Duration of mechanical ventilation (mixed results were found wherein one study found significant decrease in duration and another for the

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