Effects of Earlier Mobilisation on Critically Ill Patients

Abstract

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.