Early In-Bed Cycle Ergometry in Mechanically Ventilated Patients

Among adults receiving mechanical ventilation in the ICU, adding early in-bed Cycling to usual physiotherapy did not improve physical function at 3 days after discharge from the ICU compared with Usual physiotherapy alone.... read more

Every Deep-Drawn Breath: A Critical Care Doctor on Healing, Recovery, and Transforming Medicine in the ICU

Every Deep-Drawn Breath: A Critical Care Doctor on Healing, Recovery, and Transforming Medicine in the ICU

A world-renowned critical care doctor offers hope for ICU patients and their families in this timely, urgent, and compassionate narrative. Over the next ten years, 40 to 60 million people in this country will be admitted... read more

Multifaceted Early Mobility Intervention Impact for Critically Ill Children

Multifaceted Early Mobility Intervention Impact for Critically Ill Children

This study will examine whether a multifaceted strategy to optimize early mobility affects the duration of mechanical ventilation, delirium incidence, and functional outcomes in critically ill children. This study will... read more

A Guide to Mechanical Circulatory Support: A Primer for Ventricular Assist Device (VAD) Clinicians

A Guide to Mechanical Circulatory Support: A Primer for Ventricular Assist Device (VAD) Clinicians

This unique book details a multidisciplinary approach for providers caring for the Mechanical Circulatory Support (MCS) patient. Authors discuss the history of MCS, patient selection, surgical and post-operative care, mobility... read more

Incidence of Delirium in ICU Inpatients After Cognitive Exercise Intervention

Incidence of Delirium in ICU Inpatients After Cognitive Exercise Intervention

In this study, the relevant RCTs on cognitive exercise in ICU inpatients with delirium were screened for systematic evaluation and meta-analysis, aiming to explore the impact of cognitive exercises and routine nursing on... read more

Effectiveness and Safety of the Awakening and Breathing Coordination, Delirium Monitoring/Management, and Early Exercise/Mobility Bundle

Effectiveness and Safety of the Awakening and Breathing Coordination, Delirium Monitoring/Management, and Early Exercise/Mobility Bundle

Critically ill patients managed with the Awakening and Breathing Coordination, Delirium monitoring/management, and Early exercise/mobility bundle spent three more days breathing without assistance, experienced less delirium,... read more

Leading EHR System Adopts Bundle to Prevent ICU Delirium

Leading EHR System Adopts Bundle to Prevent ICU Delirium

Seminal studies at Vanderbilt University Medical Center over the past two decades by pulmonary and critical care specialist Wes Ely, M.D. and colleagues have spurred ICU delirium research, and the resulting body of evidence... read more

When Exercise Comes to the Hospital’s ICUs

When Exercise Comes to the Hospital’s ICUs

Even short hospital ICU stays can cause lasting problems for patients. Can early mobility and exercise help? Apna Kudchadkar still remembers the morning in 2010 that shaped the trajectory of her scientific research. She... read more

Measuring Patient Mobility in the ICU Using a Novel Noninvasive Sensor

Measuring Patient Mobility in the ICU Using a Novel Noninvasive Sensor

Noninvasive mobility sensor is a novel and feasible method for automating evaluation of ICU patient mobility. Three Microsoft Kinect sensors (Microsoft, Beijing, China) were deployed in one ICU room to collect continuous... read more

Holding Intubated Infants Well Tolerated and Safe

Holding Intubated Infants Well Tolerated and Safe

Critically ill infants who are old enough to move on their own but too young to cooperate with care instructions have been among the last to benefit from patient mobility initiatives. Results from a holding intervention... read more

Impact of a Progressive Mobility Program on the Functional Status, Respiratory and Muscular Systems of ICU Patients

Impact of a Progressive Mobility Program on the Functional Status, Respiratory and Muscular Systems of ICU Patients

Patients who participated in an ICU mobility program had better functional status at discharge from the ICU. The other benefits of the program included better performance in the mobility tests and improved maximum voluntary... read more

PICU Up! A Multicomponent Early Mobility Intervention for Critically Ill Children

PICU Up! A Multicomponent Early Mobility Intervention for Critically Ill Children

Pediatric intensive units traditionally have had a culture where critically ill children are intubated and mechanically ventilated, immobilized, and highly sedated. This practice is primarily driven by a focus on safety... read more

The Effect of Early Mobilization in Critically Ill Patients

The Effect of Early Mobilization in Critically Ill Patients

This study indicated that early mobilization was effective in preventing the occurrence of ICU-AW, shortening the length of ICU and hospital stay, and improving the functional mobility. However, it had no effect on the ICU... read more

Factors Nurses in the ICU Consider When Making Decisions About Patient Mobility

Factors Nurses in the ICU Consider When Making Decisions About Patient Mobility

Nurses are often responsible for mobilizing patients, but how they overcome barriers and make decisions to mobilize patients in the intensive care unit (ICU) is not understood. Deciding to mobilize patients in the ICU... read more

Patient Safety Organization Drives Inpatient Rehabilitation Quality Improvement

Patient Safety Organization Drives Inpatient Rehabilitation Quality Improvement

The Carolinas Rehabilitation Patient Safety Organization (PSO), which serves 34 freestanding inpatient rehabilitation hospitals and inpatient rehabilitation units, is facilitating the improvement of quality and patient safety... read more

Increased Hospital-Based Physical Rehabilitation and Information Provision After ICU Discharge

Increased Hospital-Based Physical Rehabilitation and Information Provision After ICU Discharge

Post-ICU hospital-based rehabilitation, including increased physical and nutritional therapy plus information provision, did not improve physical recovery or HRQOL, but improved patient satisfaction with many aspects of recovery.... read more

Identifying Barriers to Nurse-Facilitated Patient Mobility in the ICU

Identifying Barriers to Nurse-Facilitated Patient Mobility in the ICU

Nurses have limited time for additional clinical activities but may miss potentially important opportunities for facilitating patient mobility during existing patient care. The proposed method is feasible and helpful in empirically... read more