critically ill patients in ICU
Conditions
Interventions
standard physiotherapy
early mobilisation program
Sponsors
University of Zimbabwe
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: All participants who were admitted to ICU and High dependency unit (HDU) irrespective of ventilation method (non-invasive or invasive), aged 18 years old or older, medically stable and who consented or had their next of kin consent on their behalf to participate in the study were included. Mobilisation of participants was initiated based on a priori selected (Bailey et al., 2007) that included: ¿ Neurological criterion- the patient had to be awake which was assessed by response to verbal stimulation. ¿ Respiratory Criterion- a fraction of inspired oxygen (FiO2) of less than or equal to 0.6 and positive end expiratory pressure (PEEP) of less than or equal to 8cm of water. ¿ Circulatory criterion- the absence of orthostatic hypotension and catecholamine drips.
Exclusion criteria
Exclusion criteria: All participants who had one of the following; ¿ Cognitive impairment before acute illness ¿ Inability to walk without assistance before acute illness ¿ Neuromuscular disease that could impair weaning (Myasthenia gravis, Guillian-Barre), acute stroke, head injury ¿ Hip fracture, unstable cervical spine and pathologic fracture ¿ Who were assessed by the medical staff as approaching imminent death ¿ Any participant the treating intensive care unit team advised on avoiding mobilisation for any other reason not aforementioned was also excluded.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| functional status | — |
Secondary
| Measure | Time frame |
|---|---|
| duration period on mechanical ventilation | — |
Countries
Zimbabwe
Contacts
Public ContactShamila Manie
Lecturer at University of Capetown
Outcome results
None listed