EARLY MOBILIZATION OF INTUBETED PATIENTS IN THE INTENSİVE CARE UNİT AND THE EFFECTS OF EARLY MOBILIZATION ON RESPIRATORY PATTERN AND PATIENT HEMODYNAMICS

The present study was carried out as a quasi-experimental study in order to examine the effects of early mobilization of intubated patients in the intensive care unit and the effects of early mobilization on respiratory pattern and patient hemodynamics. The sample of the study consisted of 25 intubated patients monitored in the intensive care unit at in a private hospital between May 2020 and July 2021. Ethics committee approval and study permission were obtained from the hospital before starting the data collection process. Research data, descriptive data collection form, Richmond- Agitation Sedation Scale (RASS) scale, Muscle Strength Testing (Oxford Scale) and with the mobilization of the patients 45 minute in 30-60 minute including the preparation process, (1st Stage Semi Fowler position, 2nd Stage bedside sitting position, 3rd Stage in the bedside sitting position after mobilization) were registered in the Early Mobilization Follow-up Form and collected. Number and percentage calculations, repeated measurement ANOVA and Post Hoc Sheffe, LSD test analyzes were utilized in the evaluation of the data.

Study Overview

• Status: Not yet recruiting
• Conditions: Intensive Care Unit Acquired Weakness; Intensive Care, Intubated Patient, Early Mobilization, Mobilization, Respiratory Pattern
• Intervention / Treatment: Other: MOBILIZATION

• Study Type: Observational
• Enrollment (Anticipated): 25

Contacts and Locations

Study Locations

• Turkey
  • İ̇stanbul
    • Istanbul, İ̇stanbul, Turkey, 34959
      • Gürkan ÇAMOK
      • Contact: GÜRKAN ÇAMOK; Phone Number: +905380301709; Email: gurkancamok@yahoo.com.tr

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 90 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Probability Sample

Study Population

INTUBE PATIENTS IN ICU

Description

Inclusion Criteria:

• 18 years and over,
• Hemodiamic stability (OCD >60, OCD <120, respiratory rate <35, SpO2 >90),
• Areas of >3/5 (Oxford scale) and above on the lower limbs with areas of secure support,
• The patient scores 0 (awake and calm) on the Richmond Agitation Sedation Scale (RASS),
• PaO2 / FiO2 ≥300,
• Body temperature below 38 degrees,
• Platelet count ≥20,000 cells / mm3,
• Having blood sugar of 60-360 mg/dl,
• Having arterial monitoring,
• Patient with 30% FiO2 due to mechanical ventilator,
• Those with mechanical ventilator-dependent ventilation method (mode) PASB,
• Patient with a PEEP value of 5 due to mechanical ventilator,
• Patient with a PASB value of 10 connected to a mechanical ventilator,
• A sample accepted by the patient who voluntarily agreed to participate in the study was approximated from the patient.

Exclusion Criteria:

• Patients under the age of 18,
• Those with hemodynamic instability (OCD <60 mmHg, OCD >120 mmHg, breath rate >35, SpO2 <90),
• Those who do not have secure unsupported sitting balance and have a score of >3/5 (Oxford scale) in the lower limbs,
• Patients whose Richmond agitation sedation scale (RASS) is between +1 and +4 points, and patients with a score between -1 and -5,
• Those with arrhythmia,
• Patients without arterial monitoring,
• Patients whose FiO2 percentage is not 30% in patients on mechanical ventilator,
• Patients who do not have ventilation method (mod) PASB in patients on mechanical ventilator,
• Patients who do not have a PEEP value of 5 in patients on mechanical ventilators,
• Patients who do not have a PASB value of 10 in patients on mechanical ventilators,
• Those with neurological and orthopedic contraindications,
• Patients who could not get approval from the relatives of the patients who did not accept to participate in the study were excluded from the study.

Study Plan

How is the study designed?

Design Details

• Observational Models: Case-Only
• Time Perspectives: Cross-Sectional

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
INTENSIVE CARE PATIENTS; EARLY MOBILIZATION OF INTUBE PATIENTS	Other: MOBILIZATION; EARLY MOBILIZATION OF INTUBE PATIENTS AND ITS EFFECTS OF MOBILIZATION

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
EARLY MOBILIZATION OF INTUBE PATIENTS AND THE EFFECTS OF EARLY MOBLIZATION ON RESPIRATORY PATTERN AND PATIENT HEMODYNAMICS	HEMODYNAMIC EFFECTSRESPIRATORY PATTERN, BLOOD GAS ANALYSISZ	ONE DAY

Collaborators and Investigators

• Sponsor: Okan University

Publications and helpful links

General Publications

• Green M, Marzano V, Leditschke IA, Mitchell I, Bissett B. Mobilization of intensive care patients: a multidisciplinary practical guide for clinicians. J Multidiscip Healthc. 2016 May 25;9:247-56. doi: 10.2147/JMDH.S99811. eCollection 2016.

Study record dates

Study Major Dates

• Study Start (Anticipated): December 10, 2021
• Primary Completion (Anticipated): February 1, 2022
• Study Completion (Anticipated): March 1, 2022

Study Registration Dates

• First Submitted: December 6, 2021
• First Submitted That Met QC Criteria: December 6, 2021
• First Posted (Actual): December 20, 2021

Study Record Updates

• Last Update Posted (Actual): December 20, 2021
• Last Update Submitted That Met QC Criteria: December 6, 2021
• Last Verified: December 1, 2021

More Information

Terms related to this study

• Other Study ID Numbers: GURKANCAMOK

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: Undecided
• IPD Plan Description: all of

Study Data/Documents

1. Study Protocol

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No