Forschung & Innovation
Publikationen
Frühmobilisation auf der Intensivstation bei Patienten mit einer Subarachnoidalblutung - eine Übersichtsarbeit
Alle Autor*innen
Jacqueline Widmaier, Denise Schindele, Karin Lichtinger
Fachzeitschrift
Medizinische Klinik, Intensivmedizin und Notfallmedizin
Kurzfassung
Background: Early mobilization of critical ill patients in the intensive care unit (ICU) has a positive effect on outcome. Currently, due to concerns of cerebral vasospasm and rebleeding patients with subarachnoid hemorrhage (SAH) have a prolong bedrest for 12-14 days. Objective: What effect does early mobilization have on vasospasm, clinical outcome, length of stay and ICU complication rate in patients with SAH compared to standard treatment? Methods: A systematic literature search was conducted in MEDLINE via the PubMed (R) (U.S. National Library of Medicine (R), Bethesda, MD, USA) and CINAHL (R) (EBSCO, Ipswich, MA, USA) databases. Results: A total of 14 studies were identified. Overall, the studies showed an improved functional outcome and a reduction in the length of hospitalization and ventilation time. Only in one study did vasospasms occur more frequently and the outcome of patients with early mobilization was worse. Conclusion: Further research is needed to identify possible positive effects of early mobilization in patients with SAH and to be able to describe the risk-benefit ratio more precisely.
Keywords
Functional outcome, Intensive care nursing, Intracranial vasospasm, Physical therapy