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

Table 6

Red signals for active mobilization of mechanically ventilated patients.

● = red signal	Exercise in bed	Exercise outside bed
Percutaneous oxygen saturation <90%		●
High frequency oscillatory mode of ventilation		●
Prone positioning	●	●
Intravenous hypertensive therapy for emergency hypertension	●	●
Bradycardia requiring pharmacological intervention or awaiting pacemaker insertion	●	●
Mean arterial pressure below the target range		●
Dependent rhythm on a transvenous or epicardial pacemaker		●
Stable tachycardia with a ventricular rate >150 bpm		●
Intraaortic balloon pump		●
Extracorporeal membrane oxygen		●
Cardiac ischemia (ongoing chest pain)		●
Unarousable or deeply sedated patient: RASS < −2		●
Very agitated or combative patient: RASS > +2	●	●
Active management of intracranial hypertension and raised intracranial pressure	●	●
Open lumbar drain (unclamped)		●
Uncontrolled seizures	●	●
Unstable/unstabilized major fractures		●
Large exposed surgical wound		●
Known uncontrolled active hemorrhage	●	●
Femoral sheath

RASS, Richmond Agitation-Sedation Scale.