Martínez CMÁ, Lugo GDS, Gómez GEMA

Language: Spanish
References: 33
Page: 209-211
PDF size: 179.84 Kb.

ABSTRACT

The critically ill patient has a higher chance of developing functional alterations derived from his stay in the intensive care unit (ICU). ICU-acquired weakness is a clinical entity that has a high prevalence in this population. Early mobilization (EM) is one of the most commonly utilized strategies to address such a problem. EM is defined as implementing physical exercise during the first 3-5 days since the onset of critical pathology. Passive mobilization (PM) consists of the movement of extremities in their complete range of motion, such as in a patient who is not collaborative and has no presence of muscle contraction. The benefits of early mobilization are the reduction of inflammatory factors, a decline in pain, and the improvement of microcirculation in the extremities. On the other hand, PM does not prevent the loss of muscle mass or ICU-acquired weakness, but it is safe in a myriad of critically ill patients because it does not cause hemodynamic, respiratory, or neurologic changes. It is important to emphasize that active early mobilization and functional objectives should remain the same. This essay questions whether passive mobilization should be eliminated from the ICU due to the uncertainty of its benefits.

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