EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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 ISSN 2394-3211

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Abstract

AN OBSERVATIONAL STUDY ON FEASIBILITY OF GRADED EARLY MOBILISATION IN MECHANICALLY VENTILATED PATIENTS

Aparna Pattnaik, *S. Sridevi, T. Senthil Kumar and Prof N. Venkatesh

ABSTRACT

Background: Early mobilisation is found to have a tremendous effect on patients with Mechanical Ventilator. Despite known benefits, it is not commonly practised in India. ICU rehabilitation is not adequate as lacunae in knowledge persist. Lack of manpower, equipment and fear of adverse effects has been the main barriers for not initiating Early Mobilisation in regular ICU practices. Aim: To find out the feasibility and to evaluate the physiological variations during graded early mobilisation in mechanically ventilated patients from the day of intubation to the day of ICU discharge. To find out barriers during early mobilisation in ICU. Study setting: This Observational study recruited subjects from Multi-disciplinary intensive care unit of a tertiary care hospital. Methods: 26 subjects who met inclusion criteria of mean age 62.3yrs and mean BMI 24.12kg/m2 from both genders received graded early mobilisation from the day of intubation to the day of ICU discharge. Pre and Post vitals were noted for each session and the barriers that limited grade of mobilisation was documented. Standard safety ICU mobilisation guidelines were followed. Result: Out of 26 patients, at the time of discharge 6 subjects (23%) received passive mobilisation, 10 subjects (38.5%) received in-bed mobilisation and 10 subjects (38.5%) received out-bed mobilisation. On pre-post-analysis of physiological variation in subjects who received stage 5 mobilisation statistical significant variation was noted and it was within safety limits. We also noted that patients with respiratory conditions showed good progression in mobilisation. No adverse event occurred during the study period.

Keywords: Intensive care unit, mechanical ventilator, mobilisation, intubation.


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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI ) Scope Database Academia