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Implementing Early Mobilisation in the Intensive Care Unit

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Improving Critical Care Survivorship

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Abstract

Early mobilisation is a promising intervention in the intensive care unit with the potential to improve short- and long-term outcomes for patients requiring support for a critical illness. However, early mobilisation is complex with significant variation in uptake and practice around the world. Multiple studies have attempted to address barriers and facilitators to early mobilisation, and a variety of strategies have emerged to support the implementation of this intervention into clinical practice. This chapter summarises the current evidence relating to the effects of early mobilisation in the intensive care unit. It also provides a summary of the factors impacting implementation and provides an overview of the approaches and resources available to support successful translation to clinical practice. Finally, consideration is given to the future of early mobilisation and how this intervention may be delivered and prescribed differently as further evidence and resources emerge.

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Author information

Authors and Affiliations

  1. Australian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, VIC, Australia

    Jenna K. Lang & Carol L. Hodgson

  2. Department of Physiotherapy, Western Health, Melbourne, VIC, Australia

    Jenna K. Lang

  3. Charité—Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin, Germany

    Stefan J. Schaller

  4. Berlin Institute of Health, Department of Anesthesiology and Surgical Intensive Care, Berlin, Germany

    Stefan J. Schaller

  5. The Alfred Health, Melbourne, VIC, Australia

    Carol L. Hodgson

  6. Division of Clinical Trials and Cohort Studies, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia

    Carol L. Hodgson

Authors
  1. Jenna K. Lang
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  2. Stefan J. Schaller
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  3. Carol L. Hodgson
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Corresponding author

Correspondence to Carol L. Hodgson .

Editor information

Editors and Affiliations

  1. Department of Physiotherapy, Western Health, Melbourne, VIC, Australia

    Kimberley J. Haines

  2. Glasgow Royal Infirmary, NHS Greater, Glasgow and Clyde, Glasgow, UK

    Joanne McPeake

  3. Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA

    Carla M. Sevin

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Lang, J.K., Schaller, S.J., Hodgson, C.L. (2021). Implementing Early Mobilisation in the Intensive Care Unit. In: Haines, K.J., McPeake, J., Sevin, C.M. (eds) Improving Critical Care Survivorship. Springer, Cham. https://doi.org/10.1007/978-3-030-68680-2_2

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