Knowledge of physiotherapists working in adult ICU on contraindications to mobilization

Lima, Amina Maria Soares de; Brandão, Daniella Cunha; Barros, Carlos Eduardo Santos Rego; Richtrmoc, Maria Karoline; Andrade, Armèle de Fátima Dornelas de; Campos, Shirley Lima

doi:10.1590/1980-5918.033.ao72

Cited by 3 publications

(2 citation statements)

References 56 publications

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“…The assessment of the patient guides the decision towards the indication of early mobilization and plays an important role in the individualization of the therapy aims and intensity for each patient [ 1 , 16 ]. Professional training, as well as the development of informative guidelines and protocols, may help and is necessary to guarantee the safety of the early mobilization of critical patients [ 40 ].…”

Section: Discussionmentioning

confidence: 99%

Hemodynamic impact of early mobilization in critical patients receiving vasoactive drugs: A prospective cohort study

et al. 2022

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Background Vasoactive drugs are one of the most common patient-related barriers to early mobilization. Little is known about the hemodynamic effects of early mobilization on patients receiving vasoactive drugs. This study aims to observe and describe the impact of mobilization on the vital signs of critical patients receiving vasoactive drugs as well as the occurrence of adverse events. Methods This is a cohort study performed in an Intensive Care Unit with patients receiving vasoactive drugs. All patients, either mobilized or non-mobilized, had their clinical data such as vital signs [heart rate, respiratory rate, systolic blood pressure, diastolic blood pressure, mean arterial pressure, and oxygen saturation], type and dosage of the vasoactive drug, and respiratory support collected at rest. For mobilized patients, the vital signs were also collected after mobilization, and so was the highest level of mobility achieved and the occurrence of adverse events. The criteria involved in the decision of mobilizing the patients were registered. Results 53 patients were included in this study and 222 physiotherapy sessions were monitored. In most of the sessions (n = 150, 67.6%), patients were mobilized despite the use of vasoactive drugs. There was a statistically significant increase in heart rate and respiratory rate after mobilization when compared to rest (p<0.05). Only two (1.3%) out of 150 mobilizations presented an adverse event. Most of the time, non-mobilizations were justified by the existence of a clinical contraindication (n = 61, 84.7%). Conclusions The alterations observed in the vital signs of mobilized patients may have reflected physiological adjustments of patients’ cardiovascular and respiratory systems to the increase in physical demand imposed by the early mobilization. The adverse events were rare, not serious, and reversed through actions such as a minimal increase of the vasoactive drug dosage.

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Section: Discussionmentioning

confidence: 99%

Hemodynamic impact of early mobilization in critical patients receiving vasoactive drugs: A prospective cohort study

et al. 2022

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“…Hence, the ICU environment can appear very intimidating, if not hostile, to the unfamiliar. [1] The training of intensivists and critical care nurses has evolved with an increasing understanding of the discipline of critical care medicine. This has led to the establishment of set curricula and regulatory boards with exit exams maintaining a standard of competency.…”

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confidence: 99%

An important ‘step’ towards the standardisation of care offered by physiotherapists working in an ICU in a low- to middle-income country

Kalla

2021

Afr J Thorac Crit Care Med

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A perspectiva dos pacientes internados na Unidade de Terapia Intensiva acerca da assistência fisioterapêutica

Vidal

Góes

Santos

et al. 2021

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A importância da assistência fisioterapêutica humanizada na Unidade de Terapia Intensiva é amplamente conhecida, bem como as percepções dos profissionais e familiares acerca da humanização. Entretanto, a perspectiva do paciente, que realmente está sendo assistido, ainda é pouco conhecida. A partir disso, esse estudo objetiva descrever a perspectiva dos pacientes internados acerca da assistência fisioterapêutica na Unidade de Terapia Intensiva, considerando aspectos da humanização. Trata-se de um estudo de corte transversal, descritivo, com abordagem quantitativa. Foi utilizado um questionário constituído por dois blocos de questões fechadas, sendo o primeiro para o conhecimento de dados sociodemográficos e o segundo para conhecimento da perspectiva do paciente acerca da assistência fisioterapêutica. A população foi composta por 20 pacientes adultos, com idade igual ou superior a 18 anos, internados na UTI por no mínimo 24 horas, lúcidos e orientados, e assistidos pela fisioterapia. Foi realizada uma análise descritiva simples e os resultados foram apresentados em forma de números absolutos e percentuais. Constatou-se grande satisfação dos pacientes quanto a humanização do atendimento, segundo a avaliação das dimensões dignidade (100%), comunicação (100%), aspectos interpessoais (100%), empatia (100%), receptividade (100%) e cuidado (95%). A compreensão da perspectiva dos pacientes acerca do atendimento fisioterapêutico, proporcionará conhecimento e respaldo aos fisioterapeutas a respeito da sua conduta, e possibilitará o desenvolvimento de um ambiente humanizado.

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Knowledge of physiotherapists working in adult ICU on contraindications to mobilization

Cited by 3 publications

References 56 publications

Hemodynamic impact of early mobilization in critical patients receiving vasoactive drugs: A prospective cohort study

Hemodynamic impact of early mobilization in critical patients receiving vasoactive drugs: A prospective cohort study

An important ‘step’ towards the standardisation of care offered by physiotherapists working in an ICU in a low- to middle-income country

A perspectiva dos pacientes internados na Unidade de Terapia Intensiva acerca da assistência fisioterapêutica

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