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2019, Number 5

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RIC 2019; 98 (5)

Early rehabilitation of the severe patient

Rivo SBN, Reynosa AY, Cantillo FE, Fernández LJO

Language: Spanish
References: 25
Page: 673-685
PDF size: 648.27 Kb.


ABSTRACT

Introduction: the early rehabilitation of the serious patient is a requirement of their comprehensive care. Objective: systematize essential contents related to the early rehabilitation of the patient admitted to the Intensive Care Unit. Method: in the General Teaching Hospital “Dr. Agostinho Neto”, between January and July 2019, a narrative review was made on the subject, through a search in electronic databases (Virtual Health Library, LILACS, PubMed, SciELO, REDALYC, Scopus). Results: 159 documents were located and 25 relevant for the purpose of the review were chosen. The information was structured in the following aspects: definitions, use of the clinical method in the early rehabilitation of the severe patient, benefits and protocols for this purpose. Controversies were identified on the criteria of indication, the protocol of action, the start times, intensity and frequency of the exercises. Conclusions: the bases for early rehabilitation in serious patients are systematized, it is revealed that it is feasible to improve their functional recovery and future quality of life.


REFERENCES

  1. González Seguel FA. Movilidad temprana en UCI [en línea]. Santiago de Chile: Sociedad Chilena de Medicina crítica y urgencias; 2016 [citado 28 Jul 2019]; [aprox. 10 p.]. Disponible en: https://www.studocu.com/es/document/universidad-de-lafrontera/kinesiologia/resumenes/movilidad-temprana-enuci/ 1134653/view

  2. Meza-Ontiveros JR, Pedroza-Morán YG, Villanueva-Acosta CM, Zamudio-Sánchez ML, Arreola-Guerra JM, Domínguez-Reyes C. El fisioterapeuta en la unidad de terapia intensiva: impacto de su intervención en la fuerza muscular del paciente críticamente enfermo. LUX MÉDICA [en línea]. 2014 Ago [citado 28 Jul 2019]; 13(39):11-17. DOI: https://doi.org/10.33064/39lm20181329

  3. Sánchez RIA, Ayala NEG. Prescripción del ejercicio en paciente crítico adulto: una propuesta desde la planificación del entrenamiento. Rev UNIANDES Cienc Salud [en línea]. 2018 [citado 28 Jul 2019]; 1(1):2-17. Disponible en: https://www.researchgate.net/publication/327446645

  4. Hickmann CE, Castanares ZD, Bialais E, Dugernier J, Tordeur A, Colmant L, et al. Teamwork enables high level of early mobilization in critically ill patients. Ann Inten Care [en línea]. 2016 Feb [citado 28 Jul 2019]; 6:80. Disponible en: http://refhub.elsevier.com/S0210-5691(16)30243-1/sbref0550

  5. Rocha M, Martínez BP, Maldaner VZ, Forgiarini LA. La movilización temprana: ¿Por qué, para qué y cómo? Med Intens [en línea]. 2017 Mar [citado 28 Jul 2019]; 41(7):429-436. Disponible en: http://dx.doi.org/10.1016/j.medin.2016.10.003

  6. Goodson CM, Tipping C, Mantheiy EC, Nikayin S, Seltzer J, Outten C, et al. Physical rehabilitation in the ICU: understanding the evidence. Manag Prac [en línea]. 2017 Feb [citado 28 Jul 2019]; 3:80. Disponible en: https://healthmanagement.org/c/ icu/issuearticle/physical-rehabilitation-in-the-icu-understanding-theevidence

  7. Castro AC, Seron P, Fan E, Gaete M, Mickan S. Effect of early rehabilitation during intensive care unit stay on functional status: systematic review and meta-analysis. PLoS One [en línea]. 2015 Feb [citado 28 Jul 2019]; 10:e0130722. Disponible en: http://refhub.elsevier.com/S0210-5691(16)30243-1/sbref0450

  8. Tipping C, Bailey M, Bellomo R, Berney S, Buhr H, Denehy L, Hodgson C. The ICU mobility scale has construct and predictive validity and is responsive: A multicenter observational study. Ann Ame Thor Soc [en línea]. 2016 [citado 28 Jul 2019]; 13(6):887–893. Disponible en: https://doi.org/10.1513/AnnalsATS.201510-717OC

  9. Parry SM, Berney S, Granger CL, Dunlop DL, Murphy L, El-Ansary D, et al. A new two-tier strength assessment approach to the diagnosis of weakness in intensive care: an observational study. Crit Care [en línea]. 2015 Feb [citado 28 Jul 2019]; 19:52. Disponible en: http://refhub.elsevier.com/S0210-5691(16)30243-1/sbref0360

  10. Hermans G, Van den Berghe G. Clinical review: intensive care unit acquired weakness. Crit Care [en línea]. 2015 Feb [citado 20 Jun 2019]; 19:274. Disponible en: http://refhub.elsevier.com/S0210- 5691(16)30243-1/sbref0375

  11. Calixto MAA, Mendoza MNG, Pérez NOR, Martínez CMA, Pérez MB. Movilización temprana como prevención y tratamiento para la debilidad adquirida en la unidad de cuidados intensivos en pacientes en ventilación mecánica. Experiencia en un hospital de segundo nivel. Europ Scien J [en línea]. 2018 Jul [citado 28 Jul 2019]; 14 (21): 19-30. Disponible en: http://dx.doi.org/10.19044/esj.2018.v14n21p19

  12. Moss M, Nordon CA, Malone D, Van Pelt D, Frankel SK, Warner ML, et al. A randomized trial of an intensive physical therapy program for patients with acute respiratory failure. Am J Respir Crit Care Med [en línea]. 2016 [citado 28 Jul 2019]; 193:1101-10. Disponible en: http://refhub.elsevier.com/S0210-5691(16)30243-1/sbref0440

  13. Fan E, Cheek F, Chlan L, Gosselink R, Hart N, Herridge MS. An official American Thoracic Society Clinical Practice guideline: the diagnosis of intensive care unit-acquired weakness in adults. Am J Respir Crit Care Med [en línea]. 2014 [citado 28 Jul 2019]; 190:1437-46. Disponible en: http://refhub.elsevier.com/S0210-5691(16)30243- 1/sbref0350

  14. Connolly B, Salisbury L, O’Neill B, Geneen L, Douiri A, Grocott MP. Exercise rehabilitation following intensive care unit discharge for recovery from critical illness. Cochrane Database Syst Rev [en línea]. 2015 [citado 28 Jul 2019]. DOI: 10.1002/14651858.CD008632.pub2

  15. Hodgson C, Bellomo R, Berney S, Bailey M, Buhr H. Early mobilization and recovery in mechanically ventilated patients in the ICU: a binational, multicentre, prospective cohort study. Crit Care [en línea]. 2017 Feb [citado 28 Jul 2019]; 19:81. DOI: 10.1186/s13054-015-0765-4

  16. Dubb R, Nydahl P, Hermes C, Schwabbauer N, Toonstra A, Parker AM, et al. Barriers and strategies for early mobilization of patients in intensive care units. Ann Am Thorac Soc [en línea]. 2016 [citado 28 Jul 2019]; 13:724-30. DOI: 10.1513/AnnalsATS.201509-586CME

  17. Nydahl P, Ruhl AP, Bartoszek G, Dubb R, Filipovic S, Flohr HJ, et al. Early mobilization of mechanically ventilated patients: a 1-day pointprevalence study in Germany. Crit Care Med [en línea]. 2014 [citado 28 Jul 2019]; 42(5):1178-86. DOI: 10.1097/CCM.0000000000000149

  18. Dantas CM, Silva PFDS, Siqueira FH, Pinto RMF, Matias S, Maciel C, et al. Influência da mobilizacão precoce na foca muscular periférica e respiratória em pacientes críticos. Rev Bras Ter Inten [en línea]. 2012 [citado 28 Jul 2019]; 24:173-8. Disponible en: http://refhub.elsevier.com/S0210-5691(16)30243-1/sbref0425

  19. Gómez-Cruz JM, Caneiro-González T, Polo-Amarante A, Madrigal- Torres Y. Guía de práctica clínica para la rehabilitación del paciente en estado crítico. Medisur [en línea]. 2009 [citado 28 Jul 2019]; 7(1):82-91. Disponible en: http://www.medisur.sld.cu/index.php/medisur/article/view/722/429 1

  20. Hodgson CL, Stiller K, Needham DM, Tipping CJ, Harrold M, Baldwin CE, et al. Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults. Critical Care [en línea]. 2014 [citado 28 Jul 2019]; (18):658. DOI: 10.1186/s13054-014-0658-y

  21. Samosawala NR, Vaishali K, Kalyana BC. Measurement of muscle strength with handheld dynamometer in Intensive Care Unit. Indian J Crit Care Med [en línea]. 2016 Feb [citado 28 Jul 2019]; 20:21-6. DOI: 10.4103/0972-5229.173683

  22. Villamil-Parra WA. Fisioterapia en cuidados intensivos, más allá del manejo respiratorio. Rev Colom Rehab [en línea]. 2018 Jun [citado 28 Jul 2019]; 17(1):96-102. DOI: https://doi.org/10.30788/RevColReh.v17.n1.2018.313

  23. Latronico N, Gosselink R. A guided approach to diagnose severe muscle weakness in the intensive care unit. Rev Bras Ter Inten [en línea]. 2015 [citado 28 Jul 2019]; 27(3):199-201. DOI: 10.5935/0103-507X.20150036

  24. Villamil-Parra WA. Revisión sistemática de la eficacia del ejercicio físico en paciente adulto hospitalizado en UCI [Tesis maestría]. Colombia: Universidad Nacional de Colombia; 2016 Jun. [citado 28 Jul 2019]; Disponible en: http://bdigital.unal.edu.co/54295/1/wildera ndresvillamilparra.2016.pdf

  25. Schweickert WD, Pohlman MC, Pohlman AS, Nigos C, Pawlik AJ, Esbrook CL, et al. Early physical and occupational therapy in mechanically ventilated, critically ill patients: a randomised controlled trial. Lancet [en línea]. 2009 [citado 28 Jul 2019]; 373(9678):1874-82. DOI: 10.1016/S0140-6736(09)60658-9




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