Currently there is a divide between ICU clinicians who wish to implement early mobilization based on current evidence and clinicians who believe that early mobilization is an intervention that should be tested in a large patient-centered trial to determine long term outcomes (including functional recovery). Despite the publication of safety recommendations and clinical practice guidelines, the implementation of early mobilization remains a challenge in the ICU, with limited information on safe levels of vasoactive support, ongoing evidence of over-sedation of mechanically ventilated patients and poor staff resources limiting the ability to deliver early mobilization.

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