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

Table 7

Green signals for active mobilization of mechanically ventilated patients.

✓ = green signal	Exercise in bed	Exercise outside bed
Endotracheal tube	✓	✓
Tracheostomy tube	✓	✓
Fraction of inspired oxygen ≤0.6	✓	✓
Percutaneous oxygen saturation ≥90%	✓	✓
Respiratory rate ≤30 bpm	✓	✓
PEEP ≤10 cm H2O	✓	✓
Mean arterial pressure more than the lower limit of target range while receiving no support or low level of support	✓	✓
Stable underlying rhythm with a transvenous or epicardial pacemaker	✓	✓
Femoral intraaortic balloon pump	✓
Ventricular assist device	✓	✓
Extracorporeal membrane oxygenation: femoral or subclavian	✓
Pulmonary artery catheterization or other continuous cardiac monitors	✓
Known or suspected severe aortic stenosis	✓
Drowsy, calm, or restless patient: RASS −1 to +1	✓	✓
Delirium tool negative	✓	✓
Delirium tool positive and able to obey simple instructions	✓
Craniectomy	✓
Lumbar drain (unclamped)	✓
Acute spinal cord injury	✓
Subarachnoid bleed with unclipped aneurysm	✓
Large open surgical wound	✓
Suspicion or increased risk of active hemorrhage	✓
Intensive care unit-acquired weakness	✓	✓
Continuous renal replacement therapies	✓	✓
Arterial and venous femoral catheters	✓	✓
Other attachment and drains	✓	✓

PEEP, positive end-expiratory pressure; RASS, Richmond Agitation-Sedation Scale.