Articles
The article discussed is a quantitative research study that is about early mobilization and recovery in mechanically ventilated patients in the ICU. Early mobilization is an early active exercise during invasive ventilation. The aim of this research was to investigate the current mobilization practice and the efficiency of the ICU. The purpose of the study is to determine and observe the functional recovery among the ICU ventilated patients. Different approaches were done concerning finding concrete information to support the research. This brought forth methodology used to build the study.
The methods that were used included; study design whereby the research shows that 25 patients were recruited from different regions. This included tertiary hospitals, metropolitan hospital, and rural hospitals. Outcome data from the hospital was collected with the inclusion of the mobilized data such as time to sit in bed and time to wake up or stand.
The other method used includes statistical analysis. This included a comparison of the tests done to patients and the data represented in tables. The analyzed data were represented as normally distributed variables and non-normally distributed variables where the former was reported as the mean while the later was reported as the median
Measurement and data collection were used where they considered age, gender, body weight, admission source, date and time of the ICU, hospital admission and time and date of the first incubation at the time of incubation of the study. Investigators collected data daily at noon and obtained the results. Data for the physiotherapy sessions, mobilization activities, types of mobilization activities and co-interventions were taken and observed.
After the methods had been carried out, they had to incur their results and findings. The paper explains the results of mobilization practices in inversely ventilated patients. There was no early mobilization that was said to occur in the 84 percent of the physiotherapy sessions. The outcome here was negative, and it showed that a considerable percentage was not yet mobilized. Despite the physiotherapy services, mobilization was not typical. The study revealed that the primary barrier that inhibited mobilization was sedation, sleep, and delirium. To address the issue of mobilization, those three needed to be monitored keenly.
The study indicated that patients, who received physical therapy and other intervention services like the early mobilization, experienced increased peripheral and muscle strength, reduced duration of ventilation, ICU and hospital length of stay and improved health-related quality of life. Mobilization is likely however to have an impact or show effects on the first few days of invasive ventilation. This might give a chance for the trials. It is however not guaranteed on whether it is the intervention or the timing of the dosage which can improve the recovery of the patients who survive the ICU stay. This point out that investigation has to be done concerning the timing, dosage, mobilization intervention and the relationship between the muscle strength and the patient-centered outcome. This will need to include a randomized study to find out the results and findings.
Implications of these findings indicate that early mobilization is not conducted in places like Australia and New Zealand although mobilization has been of benefit to them. This indicates that it is very rare for other countries to practice if the group that knows it’s important does not apply for it. The findings point out the main barrier to early mobilization to be sedation and incubation. The ICU should reduce sedation and incubation and prioritize early mobilization
In conclusion, it is discovered that majority of the patients in Australia and New Zealand were not mobilized early while receiving mechanical ventilation in the ICU. The major reported barriers to early mobilization were sedation and incubation. There was mortality weakness associated with the patients who were discharged from the ICU alive. The research was able to test if early mobilization could improve patients’ outcome.
Reference
Early mobilization and recovery in mechanical ventilated patient in the ICU: a bi-national, multi- center, prospective study. (2015). Critical care
