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Erschienen in:
02.04.2024 | Editorial
Promoting optimal physical rehabilitation in ICU
Erschienen in: Intensive Care Medicine | Ausgabe 5/2024
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Physical rehabilitation in intensive care units (ICUs) is recommended by guidelines to reduce ICU-acquired physical, mental or psychological complications [1]. This involves early, individualized exercises that promote physical activity. Depending on critically ill patients’ stability and tolerance, the mobilisation level—often characterized with the ICU mobility scale—is thereby gradually increased from in-bed exercises to sitting, transferring and walking [2]. A recent meta-analysis with 60 trials (n = 5352) demonstrated that physical rehabilitation improved physical function and reduced length of stay when compared to standard care [3]. Yet despite these benefits, physical rehabilitation is poorly implemented in clinical practice potentially due to concerns of undesirable safety events [4]. We offer practical recommendations on how to promote optimal physical rehabilitation in your ICU across the continuum of care to reduce ICU-acquired complications (Fig. 1).
Fig. 1
Recommendations to promote optimal physical rehabilitation across the continuum of care
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