Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults.
Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults.
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DOI：
10.1186/s13054-014-0658-y
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发表时间：
2014-12-04
期刊：
影响因子：
--
通讯作者：
Webb SA
中科院分区：
文献类型：
--
作者：
Hodgson CL;Stiller K;Needham DM;Tipping CJ;Harrold M;Baldwin CE;Bradley S;Berney S;Caruana LR;Elliott D;Green M;Haines K;Higgins AM;Kaukonen KM;Leditschke IA;Nickels MR;Paratz J;Patman S;Skinner EH;Young PJ;Zanni JM;Denehy L;Webb SA
本研究的目的是制定关于动员成人机械通气重症监护室（ICU）患者的安全参数的共识建议。在系统性文献综述之后，23名多学科ICU专家召开会议，寻求关于机械通气患者安全动员的共识。安全性考虑因素总结为四个类别：呼吸系统、心血管系统、神经系统和其他。除血管活性药物水平外，对安全动员的所有标准达成了共识。通过气管内导管插管不是早期动员的禁忌症，如果没有其他禁忌症，则吸入氧分数小于0.6，经皮氧饱和度大于90%，呼吸频率小于30次/分钟被认为是床内和床外动员的安全标准。在一次国际会议上，94名多学科ICU临床医生同意提出的建议。关于ICU中成人机械通气患者动员安全标准的共识建议有可能指导ICU康复，同时最大限度地降低不良事件的风险。
The aim of this study was to develop consensus recommendations on safety parameters for mobilizing adult, mechanically ventilated, intensive care unit (ICU) patients. A systematic literature review was followed by a meeting of 23 multidisciplinary ICU experts to seek consensus regarding the safe mobilization of mechanically ventilated patients. Safety considerations were summarized in four categories: respiratory, cardiovascular, neurological and other. Consensus was achieved on all criteria for safe mobilization, with the exception being levels of vasoactive agents. Intubation via an endotracheal tube was not a contraindication to early mobilization and a fraction of inspired oxygen less than 0.6 with a percutaneous oxygen saturation more than 90% and a respiratory rate less than 30 breaths/minute were considered safe criteria for in- and out-of-bed mobilization if there were no other contraindications. At an international meeting, 94 multidisciplinary ICU clinicians concurred with the proposed recommendations. Consensus recommendations regarding safety criteria for mobilization of adult, mechanically ventilated patients in the ICU have the potential to guide ICU rehabilitation whilst minimizing the risk of adverse events.
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影响因子：
2.5
作者：
Chang, Mei-Yu;Chang, Li-Yin;Cheng, Chien-Hsiang
通讯作者：
Cheng, Chien-Hsiang
影响因子：
5.3
作者：
Winkelman, Chris;Johnson, Kimberly D;Levine, Alan D
通讯作者：
Levine, Alan D
影响因子：
8.8
作者：
Nydahl, Peter;Ruhl, A. Parker;Needham, Dale M.
通讯作者：
Needham, Dale M.
影响因子：
0.7
作者：
Thomas, Amanda
通讯作者：
Thomas, Amanda
影响因子：
--
作者：
Zafiropoulos, B;Alison, JA;McCarren, B
通讯作者：
McCarren, B