Early mobilization in the critical patient: update

• Autor(a) principal: Gonçalves, Danilo Cavalcante
• Data de Publicação: 2018
• Outros Autores: Martins, Deyse Lorenna Batista
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Scire Salutis
• Texto Completo: https://sustenere.inf.br/index.php/sciresalutis/article/view/CBPC2236-9600.2018.001.0003
• topic: Mobilização Precoce; Fisioterapia; Cinesioterapia; Protocolo; Paciente Crítico; Early Mobilization; Physiotherapy; Kinesiotherapy; Protocol; Critical Patient

The objective of this study was to analyze and identify the effects and repercussions of published early mobilization protocols, correlating the results obtained with the variables analyzed in each study, with the clinical evolution of the critical patient. The materials and methods used were the integrative bibliographical revision of narrative character, as the objective of identifying the protocols of early mobilization made available. Covering publications made available in the database on official and reliable academic sites, scientific journals specialized in physiotherapy and intensive therapy, database of the graduate program of some universities and updated books of the last 10 years. Apolineuromiopathy of the critical patient is complex and multifactorial, having as characteristic: loss of generalized force, loss of muscular mass, being able to be accompanied by alteration of sensitivity. It has predominant motor involvement, axonal, symmetrical and acute, the patients who develop have difficulty in weaning mechanical ventilation, in addition to tetraparesis and arreflexia. The titling of protocols based on scientific evidence in the ICU, helps in the optimization and standardization of care. Today its use is unquestionable because its result is improvement in the clinical outcome. It is suggested to carry out more standardized clinical trials for the description and comparison of different treatment protocols, in order to identify and determine the ideal dose, the time of exercise and the effect of the exercise under specific conditions. Although the effectiveness of physiotherapy interventions is not for debate, the pathophysiological mechanisms of specific interventions and the dose-response relationship in intensive care patients remain unknown.