Review Article
Effectiveness, Safety, and Barriers to Early Mobilization in the Intensive Care Unit
Table 6
Red signals for active mobilization of mechanically ventilated patients.
| ● = red signal | Exercise in bed | Exercise outside bed |
| Percutaneous oxygen saturation <90% | | ● | High frequency oscillatory mode of ventilation | | ● | Prone positioning | ● | ● | Intravenous hypertensive therapy for emergency hypertension | ● | ● | Bradycardia requiring pharmacological intervention or awaiting pacemaker insertion | ● | ● | Mean arterial pressure below the target range | | ● | Dependent rhythm on a transvenous or epicardial pacemaker | | ● | Stable tachycardia with a ventricular rate >150 bpm | | ● | Intraaortic balloon pump | | ● | Extracorporeal membrane oxygen | | ● | Cardiac ischemia (ongoing chest pain) | | ● | Unarousable or deeply sedated patient: RASS < −2 | | ● | Very agitated or combative patient: RASS > +2 | ● | ● | Active management of intracranial hypertension and raised intracranial pressure | ● | ● | Open lumbar drain (unclamped) | | ● | Uncontrolled seizures | ● | ● | Unstable/unstabilized major fractures | | ● | Large exposed surgical wound | | ● | Known uncontrolled active hemorrhage | ● | ● | Femoral sheath | | |
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RASS, Richmond Agitation-Sedation Scale.
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