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dc.contributor.authorHodgson, Carol L
dc.contributor.authorStiller, Kathy
dc.contributor.authorNeedham, Dale M
dc.contributor.authorTipping, Claire J
dc.contributor.authorHarrold, Megan
dc.contributor.authorBaldwin, Claire E
dc.contributor.authorBradley, Scott
dc.contributor.authorBerney, Sue
dc.contributor.authorCaruana, Lawrence R
dc.contributor.authorElliott, Doug
dc.contributor.authorGreen, Margot
dc.contributor.authorHaines, Kimberley
dc.contributor.authorHiggins, Alisa M
dc.contributor.authorKaukonen, Kirsi-Maija
dc.contributor.authorLeditschke, Isabel Anne
dc.contributor.authorNickels, Marc R
dc.contributor.authorParatz, Jennifer
dc.contributor.authorPatman, Shane
dc.contributor.authorSkinner, Elizabeth H
dc.contributor.authorYoung, Paul J
dc.contributor.authorZanni, Jennifer M
dc.contributor.authorDenehy, Linda
dc.contributor.authorWebb, Steven A
dc.date.accessioned2017-11-30T23:00:29Z
dc.date.available2017-11-30T23:00:29Z
dc.date.issued2014
dc.identifier.issn1466-609X
dc.identifier.doi10.1186/s13054-014-0658-y
dc.identifier.urihttp://hdl.handle.net/10072/103377
dc.description.abstractIntroduction: The aim of this study was to develop consensus recommendations on safety parameters for mobilizing adult, mechanically ventilated, intensive care unit (ICU) patients. Methods: A systematic literature review was followed by a meeting of 23 multidisciplinary ICU experts to seek consensus regarding the safe mobilization of mechanically ventilated patients. Results: Safety considerations were summarized in four categories: respiratory, cardiovascular, neurological and other. Consensus was achieved on all criteria for safe mobilization, with the exception being levels of vasoactive agents. Intubation via an endotracheal tube was not a contraindication to early mobilization and a fraction of inspired oxygen less than 0.6 with a percutaneous oxygen saturation more than 90% and a respiratory rate less than 30 breaths/minute were considered safe criteria for in- and out-of-bed mobilization if there were no other contraindications. At an international meeting, 94 multidisciplinary ICU clinicians concurred with the proposed recommendations. Conclusion: Consensus recommendations regarding safety criteria for mobilization of adult, mechanically ventilated patients in the ICU have the potential to guide ICU rehabilitation whilst minimizing the risk of adverse events.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherBohn Stafleu van Loghum B.V.
dc.publisher.placeNetherlands
dc.relation.ispartofpagefrom658-1
dc.relation.ispartofpageto658-9
dc.relation.ispartofissue6
dc.relation.ispartofjournalCritical Care
dc.relation.ispartofvolume18
dc.subject.fieldofresearchHealth and Community Services
dc.subject.fieldofresearchMedical and Health Sciences
dc.subject.fieldofresearchcode111708
dc.subject.fieldofresearchcode11
dc.titleExpert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dcterms.licensehttp://creativecommons.org/licenses/by/4.0
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© Hodgson et al.; licensee BioMed Central. 2014. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
gro.hasfulltextFull Text
gro.griffith.authorParatz, Jenny D.


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