Abstract

CHARRY-SEGURA, Daniela et al. Early mobilization, duration of mechanical ventilation and stay in intensive care. rev.fac.med. [online]. 2013, vol.61, n.4, pp.373-379. ISSN 0120-0011.

Objective. To describe the effects of a protocol of early mobilization and progressive sitting on the duration of mechanical ventilation and length of stay in Intensive Care Unit (ICU) in adult patients. Material and methods. This was a descriptive ambispective study, in 27 subjects critically ill, with mechanical ventilation in ICU of the Samaritan Hospital, between February and April 2013. One early progressive mobilization protocol was applied for two sessions a day, seven days a week, until the output of the unit. We compared the resulting changes in the outcome variables, with statistical records from February to April 2011 of those patients who did not receive the intervention. Results. There was a reduction in the duration of mechanical ventilation and ICU stay in those patients in whom the protocol was applied. There was a mean of 7.95 days of mechanical ventilation compared with 14.35 days for the sample of 2011 (Dif. mean: 6.4 [p=0.14]); and 10.75 days of ICU stay compared with 17.05 days for 2011 (Dif. mean: 6.3 [p=0.17]). Conclusion. The behavior of the physiological variables reaffirms that this intervention is a feasible and safe strategy for critically ill patients, as well as reducing the duration of mechanical ventilation and ICU stay, which can be into higher quality of life for the patient after discharge.

Keywords : Early Ambulation; Respiration; Artificial; Intensive Care; Length of Stay.

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