AN OBSERVATIONAL STUDY ON FEASIBILITY OF GRADED EARLY MOBILISATION IN MECHANICALLY VENTILATED PATIENTS
Aparna Pattnaik, *S. Sridevi, T. Senthil Kumar and Prof N. Venkatesh
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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