Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Early mobilization improves functional outcomes in critically ill patients. . | Brahmbhatt et al. Critical Care 2010 14 321 http content 14 5 321 CRITICAL CARE JOURNAL CLUB CRITIQUE L Early mobilization improves functional outcomes in critically ill patients Naishadh Brahmbhatt1 Raghavan Murugan 1 2 and Eric B Milbrandt1 2 University of Pittsburgh Department of Critical Care Medicine Evidence-Based Medicine Journal Club edited by Sachin Yende Expanded abstract Citation Schweickert WD Pohlman MC Pohlman AS Nigos C Pawlik AJ Esbrook CL Spears L Miller M Franczyk M Deprizio D Schmidt GA Bowman A Barr R McCalliste KE Hall JB Kress JP. Early physical and occupational therapy in mechanically ventilated critically ill patients a randomized controlled trial. Lancet 2009 373 9678 1874-1882. PubMed PMID 19446324. This is available on . Background Long-term complications of critical illness include intensive care unit ICU -acquired weakness and neuropsychiatric disease. Immobilization secondary to sedation might potentiate these problems. Methods Objective To assess efficacy of combining daily interruption of sedation with physical and occupational therapy on functional outcomes in patients receiving mechanical ventilation in intensive care. Design Open label randomized clinical trial. Setting Study was conducted at two university hospitals on patients receiving sedation and mechanical ventilation. Subjects were those who received mechanical ventilation for 72 hrs were functionally independent prior to hospitalization and were expected to continue for at least 24 hrs after enrollment. Subjects 104 mechanically ventilated patients in the ICU. Intervention Patients were randomized to receive either early exercise and mobilization physical and occupational therapy during periods of daily interruption of sedation intervention n 49 or daily interruption of Correspondence muruganr@ 642 Scaife Hall 3550 Terrace Street University of Pittsburgh Pittsburgh PA 1 5261 USA Full list of author information .
