Review Article

Effectiveness, Safety, and Barriers to Early Mobilization in the Intensive Care Unit

Table 5

Safety measures for early mobilization in the intensive care unit.

Respiratory considerationsCardiovascular considerationsNeurological considerationsOthers

(i) Peripheral oxygen saturation >88%
(ii) Respiratory rate >5 bpm
(iii) <40 bpm
(iv) FiO2 < 0.6
(v) PEEP <10 cm H2O
(vi) Airway protection
(i) Heart rate >40 bpm and <130 bpm
(ii) Systolic blood pressure < 180 mm          Hg > 90 mm Hg
(iii) Mean arterial pressure >60 or <110 mm            Hg
(iv) No vasoactive medications
(v) No increase in the dose of vasopressor in          the past two hours
(vi) No myocardial ischemia
(vii) No arrhythmia
(viii) No repetition of antiarrhythmic             medications
(i) Level of consciousness,         no agitation
(ii) Not in coma
(iii) Following commands
(iv) Delirium
(v) Intracranial        pressure—not elevated
(i) No unstable fracture or bony          instability
(ii) Not under continuous           hemodialysis
(iii) No deep vein thrombosis
(iv) Body temperature < 38.5°
(v) No active bleeding

FiO2, fraction of inspired oxygen; PEEP, positive end-expiratory pressure.