Commencing out of bed rehabilitation in critical care – what influences clinical decision-making?

Commencing out of bed rehabilitation in critical care – what influences clinical decision-making?

These results confirm previous observational reports that the presence of an endotracheal tube (ETT) remains a major obstacle to the provision of rehabilitation for critically ill patients. Despite rehabilitation being effective... read more

Functional Recovery in Critically Ill Children, the “WeeCover” Multicenter Study

Functional Recovery in Critically Ill Children, the “WeeCover” Multicenter Study

This study provides new information regarding functional outcomes and the factors that influence meaningful aspects of functioning in critically ill children. Identifying patients at greatest risk and modifiable targets for... read more

Effect of In-Bed Leg Cycling and Electrical Stimulation of the Quadriceps on Global Muscle Strength in Critically Ill Adults

Effect of In-Bed Leg Cycling and Electrical Stimulation of the Quadriceps on Global Muscle Strength in Critically Ill Adults

In this single-center randomized clinical trial involving patients admitted to the ICU, adding early in-bed leg cycling exercises and electrical stimulation of the quadriceps muscles to a standardized early rehabilitation... read more

Sepsis is a Preventable Public Health Problem

Sepsis is a Preventable Public Health Problem

There is a paradigm shift happening for sepsis. Sepsis is no longer solely conceptualized as problem of individual patients treated in emergency departments and intensive care units but also as one that is addressed as public... read more

Legacy Emanuel Medical Center Plants With Purpose

Legacy Emanuel Medical Center Plants With Purpose

The benefits of access to nature have been shown in a variety of settings and contexts, notes Roger S. Ulrich, an international leader in evidence-based healthcare design and a consultant to Legacy Health’s therapeutic... read more

Skeletal Muscle Dysfunction in COPD. What We Know and Can Do for Our Patients

Skeletal Muscle Dysfunction in COPD. What We Know and Can Do for Our Patients

Skeletal muscle dysfunction occurs in patients with chronic obstructive pulmonary disease (COPD) and affects both ventilatory and nonventilatory muscle groups. It represents a very important comorbidity that is associated... read more

Dysphagia – A Common, Transient Symptom in Critical Illness Polyneuropathy

Dysphagia – A Common, Transient Symptom in Critical Illness Polyneuropathy

Dysphagia is frequent among patients with critical illness polyneuropathy treated in the ICU. Old age, chronic obstructive pulmonary disease, the mode of mechanical ventilation, the prevalence of tracheal tubes, and behavioral... read more

ICU-Acquired Weakness and Recovery from Critical Illness

ICU-Acquired Weakness and Recovery from Critical Illness

Kress and Hall propose that rehabilitation of critically ill patients should begin in the ICU. The authors name sepsis, systemic inflammation, multiorgan failure, hyperglycemia, glucocorticoid use, and female sex as risk... read more

Pediatric Patient and Family Perspective on Pediatric ICU Experience & Survivorship

Pediatric Patient and Family Perspective on Pediatric ICU Experience & Survivorship

In this video a 7-year old who spent 662 days in the PICU after a severe burn injury requiring ECMO sits down with her parents to detail their journey with critical illness and recovery during the 6th Annual Johns Hopkins... read more

The Safety of a Novel Early Mobilization Protocol Conducted by ICU Physicians

The Safety of a Novel Early Mobilization Protocol Conducted by ICU Physicians

There are numerous barriers to early mobilization (EM) in a resource-limited intensive care unit (ICU) without a specialized team or an EM culture, regarding patient stability while critically ill or in the presence of medical... read more

What Role Do Dogs Play in ICUs?

Dr. Megan Hosey PhD speaks about how dogs in the ICU can help lessen patients' pain & make them more hopeful. Getting people out of bed in intensive care units, even when they're being mechanically ventilated, is associated... read more

Bike Rehab is Helping Critical Care Patients Along the Road to Recovery

Bike Rehab is Helping Critical Care Patients Along the Road to Recovery

Getting on the bike is a stepping stone into rehabilitation - you see that bike and you know then that you're getting better. You know you're not just going to lie in that bed and vegetate. So successful was the exercise... read more

Clinicians’ Perceptions of Rationales for Rehabilitative Exercise in a Critical Care Setting

Clinicians’ Perceptions of Rationales for Rehabilitative Exercise in a Critical Care Setting

Rehabilitative exercise for critically ill patients may have many benefits; however, it is unknown what intensive care unit (ICU) clinicians perceive to be important rationale for the implementation of rehabilitative exercise... read more

Animal-assisted Intervention in the ICU: A Tool for Humanization

Animal-assisted Intervention in the ICU: A Tool for Humanization

The combination of an aging population and advances in critical care medicine is resulting in a growing number of survivors of critical illness. Survivors' descriptions of their stay in an intensive care unit (ICU) are frequently... read more