Review Article
Effectiveness, Safety, and Barriers to Early Mobilization in the Intensive Care Unit
Table 7
Green signals for active mobilization of mechanically ventilated patients.
| ✓ = green signal | Exercise in bed | Exercise outside bed |
| Endotracheal tube | ✓ | ✓ | Tracheostomy tube | ✓ | ✓ | Fraction of inspired oxygen ≤0.6 | ✓ | ✓ | Percutaneous oxygen saturation ≥90% | ✓ | ✓ | Respiratory rate ≤30 bpm | ✓ | ✓ | PEEP ≤10 cm H2O | ✓ | ✓ | Mean arterial pressure more than the lower limit of target range while receiving no support or low level of support | ✓ | ✓ | Stable underlying rhythm with a transvenous or epicardial pacemaker | ✓ | ✓ | Femoral intraaortic balloon pump | ✓ | | Ventricular assist device | ✓ | ✓ | Extracorporeal membrane oxygenation: femoral or subclavian | ✓ | | Pulmonary artery catheterization or other continuous cardiac monitors | ✓ | | Known or suspected severe aortic stenosis | ✓ | | Drowsy, calm, or restless patient: RASS −1 to +1 | ✓ | ✓ | Delirium tool negative | ✓ | ✓ | Delirium tool positive and able to obey simple instructions | ✓ | | Craniectomy | ✓ | | Lumbar drain (unclamped) | ✓ | | Acute spinal cord injury | ✓ | | Subarachnoid bleed with unclipped aneurysm | ✓ | | Large open surgical wound | ✓ | | Suspicion or increased risk of active hemorrhage | ✓ | | Intensive care unit-acquired weakness | ✓ | ✓ | Continuous renal replacement therapies | ✓ | ✓ | Arterial and venous femoral catheters | ✓ | ✓ | Other attachment and drains | ✓ | ✓ |
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PEEP, positive end-expiratory pressure; RASS, Richmond Agitation-Sedation Scale.
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