Tuberc Respir Dis.
2024 Apr;87(2):115-122. 10.4046/trd.2023.0144.
Early Mobilization and Rehabilitation of Critically-Ill Patients
- Affiliations
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- 1Veterans Medical Research Institute, Veterans Health Service Medical Center, Seoul, Republic of Korea
- 2Department of Physical Medicine and Rehabilitation, Jeonbuk National University Medical School, Jeonju, Republic of Korea
- 3Research Institute of Clinical Medicine of Jeonbuk National University–Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju, Republic of Korea
- KMID: 2553770
- DOI: http://doi.org/10.4046/trd.2023.0144
Abstract
- Post-intensive care unit (ICU) syndrome may occur after ICU treatment and includes ICU-acquired weakness (ICU-AW), cognitive decline, and mental problems. ICU-AW is muscle weakness in patients treated in the ICU and is affected by the period of mechanical ventilation. Diaphragmatic weakness may also occur because of respiratory muscle unloading using mechanical ventilators. ICU-AW is an independent predictor of mortality and is associated with longer duration of mechanical ventilation and hospital stay. Diaphragm weakness is also associated with poor outcomes. Therefore, pulmonary rehabilitation with early mobilization and respiratory muscle training is necessary in the ICU after appropriate patient screening and evaluation and can improve ICU-related muscle weakness and functional deterioration.
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