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2022, Number 3

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Acta Med 2022; 20 (3)

Early mobilization of the Intensive Care patient

Jarrín APS
Full text How to cite this article 10.35366/105729

DOI

DOI: 10.35366/105729
URL: https://dx.doi.org/10.35366/105729

Language: Spanish
References: 11
Page: 255-257
PDF size: 119.91 Kb.


Key words:

Early mobilization of the critical patient, organization and culture of physiotherapy, physiotherapy in Intensive Care Units.

ABSTRACT

Physiotherapy in critical medical services is part of the care protocol established for patients who remain in the hospital for long periods of immobilization, in recent years both intensivist physicians and medical institutions have agreed on the importance of early mobilization of the critical patient. The objective of the professional in physical therapy is to mobilize all patients who have hemodynamic stability conditions, applying various progressive exercises, techniques that they will use depending on the inclusion and exclusion criteria in which the patient is found day after day, this causes that the physiotherapist is aware of the clinical changes that patients, which is why it is the duty of the physiotherapist to be present during medical visits, by allowing himself to give education of the exercises to the relatives of the critical patient, physiotherapy also acts as an ally in the humanization of the ICU.


REFERENCES

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  2. Cameron S, Ball I, Cepinskas G, Choong K, Doherty TJ, Ellis CG et al. Early mobilization in the critical care unit: A review of adult and pediatric literature. J Crit Care. 2015; 30 (4): 664-672. doi: 10.1016/j.jcrc.2015.03.032.

  3. Instituto Nacional de Estadísticas y Censos. Ecuador. Camas y egresos hospitalarios. 2021. Disponible en: https://www.ecuadorencifras.gob.ec/camas-y-egresos-hospitalarios/

  4. Vilana Goma A. Conceptualización del rol del fisioterapeuta en la unidad de cuidados intensivos. Universitat de Barcelona; 2019.

  5. Cardona Pérez EM, González Quintero A, Padilla Chivata G, Páez Rincón SI, Alejo LA, Rodríguez Roja YL. Alteraciones asociadas al desacondicionamiento físico del paciente crítico en la Unidad de Cuidado Intensivo. Revisión sistemática. Mov cient.2014; 8 (1): 131-142.

  6. Wilches-Lunaa EC, Muloz Arcos VE, Girón E, Ortega D, Arias M, Pelaez G et al. Implementación de un programa de movilización temprana en pacientes críticos. Acta Colomb Cuid Intensivo. 2015; 15 (4): 287-292.

  7. Martínez CMÁ, Jones BRA, Gómez GA, Pérez NOR, Guerrero GMA, Zamarrón LEI et al. Movilización temprana en la Unidad de Cuidados Intensivos. Med Crit. 2021; 35 (2): 89-95.

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  9. Filippo Souza GD, dos Santos Albergaria TF, das Virgens Bomfim N, Magalhaes Duarte AC, Fraga HM, Prata Martinez B. Eventos adversos do ortostatismo passivo em pacientes críticos numa unidade de terapia intensiva. ASSOBRAFIR Ciencia. 2014; 5 (2): 25-33.

  10. Gómez Cruz J, Caneiro González LT, Amarante RP, Madrigal Torres Y. Guía de práctica clínica para la rehabilitación del paciente en estado crítico. Medisur. 2009; 7 (1). 1-11. Disponible en: http://medisur.sld.cu/index.php/medisur/article/view/722

  11. Thomas P, Baldwin C, Bissett B, Boden I, Gosselink R, Granger CL et al. Physiotherapy management for COVID-19 in the acute hospital setting: clinical practice recommendations. J Physiother. 2020; 66 (2): 73-82.




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