Early mobilization of mechanically ventilated critically ill patients aimed at optimizing recovery and reduce stay on the Thorax Intensive Care Unit: Thekla as intervention - Thekla on the TIC

Medisch Spectrum Twente0 个研究点目标入组 30 人开始时间: 待定最近更新: 2024年5月6日

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•Cardiovascular criteria: resting heart rate <120 beats per minute, blood pressure <20% variability recently and normal ECG.
•Respiratory criteria: SpO2 >90% and <4% recent decrease in SpO2, respiratory rate <35 breaths per minute and mechanical ventilation needs to be able to be maintained during treatment.
•Additional criteria: haemoglobin stable and >4.8 gramms/dL, platelet count stable and >50,000 cells/mm3, white cell count 4,300 - 10,800 cells/mm3, body temperature <38°C, blood glucose level 3.5 -12 mmol/L, patient must not experience excessive pain/ fatigue/ shortness of breath and the emotional status must be acceptable.

•Patients receiving other interventions than regular mobilization therapy (considered to be; active, active-assisted and passive range of motion exercises for all limbs, breathing exercises, sputum clearance and transfers performed are supine to sit, from bed to chair and pre-walking exercises) provided by nursing staff and/or physiotherapists, <18 years of age, enrollment in another trial, evidence of postoperative myocardial infarction or arrhythmia, orthopedic contraindications, recent split skin graft/ flap to lower limbs or trunk, >150 kg of weight, Intra Aortic Balloon Pump, Continuous Veno - Venous Hemofiltration in groin, arterial line in groin, deep venous thrombosis, pulmonary embolism, neurological contraindications or no Dutch language proficiency.

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