Document Detail

Mobilization of intensive care cardiac surgery patients on mechanical circulatory support.
MedLine Citation:
PMID:  23221444     Owner:  NLM     Status:  In-Data-Review    
Historically, intensive care cardiac surgery patients remained on bed rest for several days postoperatively to prevent complications and promote rest and healing. Over time, the cardiac surgery discipline has acknowledged the benefits of early mobility, including reduced risk of venous thromboembolism and pulmonary emboli, improved pulmonary toilet, prevention of pneumonia, decreased length of stay, reduced deconditioning, and need for rehabilitation, among others advantages. These benefits have changed clinical practice, with emphasis on early extubation, progressive mobility, and reduced lengths of stay. Early mobility is a staple in postoperative intensive care of cardiac surgery patients. Patient mobility practices include range of motion, dangling at the bedside, and transition to the chair on the operative day, if able. Postoperative day 1 entails transferring from the bed to the chair 2 to 3 times and, if feasible, ambulation in the room and hallway. Patients with pulmonary artery catheters, arterial lines, chest tubes, and mechanical circulatory support devices are included in early progressive mobility to prevent postoperative complications. This article will discuss early progressive mobility in cardiovascular intensive care unit patients, with a focus on specific considerations for patients post-cardiac surgery and those with mechanical circulatory support devices.
Regi Freeman; Kimberly Maley
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Critical care nursing quarterly     Volume:  36     ISSN:  1550-5111     ISO Abbreviation:  Crit Care Nurs Q     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2012-12-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8704517     Medline TA:  Crit Care Nurs Q     Country:  United States    
Other Details:
Languages:  eng     Pagination:  73-88     Citation Subset:  N    
Cardiovascular Intensive Care Unit and Cardiac & Thoracic Surgery Unit (Ms Freeman), and Cardiovascular Intensive Care Unit (Ms Maley), University of Michigan Health System, Ann Arbor, Michigan.
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