Revista Portuguesa de Enfermagem de Reabilitação (Jun 2019)

EARLY MOBILIZATION IN PEOPLE UNDERGOING MECHANICAL INVASIVE VENTILATION: INTEGRATIVE REVIEW OF LITERATURE

  • Pedro Cerol,
  • Jorge Martins,
  • Luis Sousa,
  • Isabel Oliveira,
  • Teresa Silveira

DOI
https://doi.org/10.33194/rper.2019.v2.n1.07.4563
Journal volume & issue
Vol. 2, no. 1
pp. 49 – 58

Abstract

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Introduction: Early mobilization in the intensive care unit is considered an important intervention in the prevention of complications related to immobility and mechanical ventilation, mainly in the development of generalized muscular weakness. Objective: To identify the benefits of the various therapeutic modalities used in the early mobilization of critically ill people submitted to invasive mechanical ventilation. Method: It was performed an integrative review. The following question was formulated through the PICo strategy - what is the state of knowledge about early mobilization in critically placed people submitted to invasive ventilation? The research was carried out on the EBSCOhost platform in September 2018, in the electronic databases CINAHL and MEDLINE and the period between January 2010 and September 2018 was defined. Results: Of the 397 articles identified, 9 articles were included. Early mobilization in person submitted to invasive mechanical ventilation is considered a safe practice, since the occurrence of adverse events is reduced. The main benefits are improvement of functional capacity, reduction of complications associated with immobility and invasive mechanical ventilation, reduction of the number of days under invasive mechanical ventilation and, consequently, the reduction of the days of ICU stay and hospitalization. This intervention reduces hospital morbidity and mortality. Conclusion: Early mobilization in people undergoing invasive mechanical ventilation is safe and contributes to health gains at both the person / family and organizational levels.

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