Introduction: An intensive care unit (ICU) provides patients with advanced life support, where they stay from hours to months to stabilise and survive. Early mobilisation has proven to be a safe and viable technique that provides hemodynamic benefits, avoids the effects of immobility and contributes to the best physical and functional outcomes for patients. Objective: The aim of this study is to clarify the importance of early mobilisation (EM) in critically ill patients. Material and Methods: A systematic review of the literature by mobilizing the descriptors: "Critical patient", "Early mobilisation" and "Nursing ". Were selected databases imaginable, between 2014-2020, included for analysis seven articles. Results and Discussion: Results and discussion: In most studies it was found that the general form, this practice provides increased muscle strength, increased maximum inspiratory pressure, shorter duration of mechanical ventilation, shorter hospital stay and better quality of life. The seven studies identified recognized the importance of early mobilization as it can facilitate the functional rehabilitation of these patients by promoting increased muscle strength and greater participation in daily activities, but some studies also identified challenges that need to be addressed. Conclusion: Early mobilization contributes to improve the patient's functional capacity and quality of life, both in the hospital environment and in the post-discharge period. It has been shown that patients who are mobilized early in a safe and practical manner have advantages in the face of the disease. This behavior helps to reduce muscle weakness acquired through immobility in bed and enables faster functional recovery, shorter weaning and shorter hospital and intensive care stays.
Introduction: Chest compression is the basic technique of cardiopulmonary resuscitation (CPR) in patients with cardiac arrest. The quality and early performance of CPR is critical to improve the prognosis and chances of restoring spontaneous blood flow. Today we have manual compressions and mechanical chest compression devices. Objective: The aim of this study is to clarify the importance of the LUCAS system (The Lund University Cardiac Arrest System) in CPR. Material and methods: A systematic review of the literature by mobilizing the descriptors "Cardiac Arrest", "Lucas Efficacy" and "nursing", using the methodological head. Ten conceivable databases were selected, between 2010-2020, and seven articles were included for analysis. Results and discussion: The results of the studies are different, as four of the studies indicate that LUCAS is fully effective, particularly in fatigue and transport, but two of them do not recognise its full effectiveness. One of the studies mentions that the fact that compression by the automatic device is effective does not necessarily reflect a better result. The vast majority of the studies recognise the need for further studies to make more convincing decisions. Conclusion: Mechanical chest compression devices can improve patient outcome if used appropriately in the event of cardiac arrest. The hemodynamic performance of the LUCAS compression-decompression system is, according to some results, better than manual CPR. However, the quality of the current evidence is not sufficient. Randomised studies are needed to evaluate the effect of mechanical chest compression devices on survival inside or outside the hospital.
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