Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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Early Mobilization and Rehabilitation of Critically-Ill Patients

  • Hye Min Ji (Veterans Medical Research Institute, Veterans Health Service Medical Center) ;
  • Yu Hui Won (Department of Physical Medicine and Rehabilitation, Jeonbuk National University Medical School)
  • Received : 2023.09.12
  • Accepted : 2023.12.18
  • Published : 2024.04.30
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Abstract

Post-intensive care unit (ICU) syndrome may occur after ICU treatment and includes ICU-acquired weakness (ICU-AW), cognitive decline, and mental problems. ICU-AW is muscle weakness in patients treated in the ICU and is affected by the period of mechanical ventilation. Diaphragmatic weakness may also occur because of respiratory muscle unloading using mechanical ventilators. ICU-AW is an independent predictor of mortality and is associated with longer duration of mechanical ventilation and hospital stay. Diaphragm weakness is also associated with poor outcomes. Therefore, pulmonary rehabilitation with early mobilization and respiratory muscle training is necessary in the ICU after appropriate patient screening and evaluation and can improve ICU-related muscle weakness and functional deterioration.

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References

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