Effects Of Mobilization On Hemodynamic And Respiratory Responses In Critically Ill Patients

Purpose: The objective of this study was to investigate the effects of mobilization on hemodynamic and respiratory responses in critically ill patients. Methods: Data of 39 patients enrolled in one or more mobilization sessions during their intensive care unit stay were collected retrospectively from routine physiotherapy records. Heart rate, systolic/diastolic/mean arterial pressures, rate pressure product, respiratory rate and peripheral oxygen saturation were recorded before (pre-mobilization), immediately after (post-mobilization) and five minutes after (recovery) mobility tasks. Results: No significant differences were found in terms of parameters between three measurements (p> 0.05). Significant differences were detected in terms of respiratory rate and rate pressure product after all three levels and post-mobilization mean arterial pressure when the patients were grouped according to their pre-treatment cardiac reserves (p< 0.05). Conclusion: Our results supported the safety of early mobilization of critically ill patients in intensive care units. We recommend ongoing monitoring of hemodynamic and respiratory parameters in order to observe physiological responses during mobilization.