Effectiveness, Safety, and Barriers to Early Mobilization in the Intensive Care Unit
Table 5
Safety measures for early mobilization in the intensive care unit.
Respiratory considerations
Cardiovascular considerations
Neurological considerations
Others
(i) Peripheral oxygen saturation >88% (ii) Respiratory rate >5 bpm (iii) <40 bpm (iv) FiO2 < 0.6 (v) PEEP <10 cm H2O (vi) Airway protection
(i) Heart rate >40 bpm and <130 bpm (ii) Systolic blood pressure < 180 mm Hg > 90 mm Hg (iii) Mean arterial pressure >60 or <110 mm Hg (iv) No vasoactive medications (v) No increase in the dose of vasopressor in the past two hours (vi) No myocardial ischemia (vii) No arrhythmia (viii) No repetition of antiarrhythmic medications
(i) Level of consciousness, no agitation (ii) Not in coma (iii) Following commands (iv) Delirium (v) Intracranial pressure—not elevated
(i) No unstable fracture or bony instability (ii) Not under continuous hemodialysis (iii) No deep vein thrombosis (iv) Body temperature < 38.5° (v) No active bleeding
FiO2, fraction of inspired oxygen; PEEP, positive end-expiratory pressure.