No benefit and potential harm with increasing early mobilization in mechanically ventilated patients

Clinical Question

Does increased early mobilization in mechanically ventilated patients improve outcomes?

Bottom line

As compared with a usual level of mobilization, increasing early mobilization for mechanically ventilated patients in the ICU does not increase the number of days alive and out of the hospital and may increase adverse events. 1b

Study design: Randomized controlled trial (nonblinded)

Funding: Government

Setting: Inpatient (ICU only)

Reviewer

Nita Shrikant Kulkarni, MD
Assistant Professor in Hospital Medicine
Northwestern University
Chicago, IL


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Comments

ARUP KUMAR DHARA

Impact assessment

Very good

Anonymous

No

None

Anonymous

early mobilization in mechanically ventilated patients

Interesting results and a bit counter-intuitive. These patients are extremely vulnerable, and obviously must be rehabilitated with care.