Mobilisations-News

According to the recommendation of the guideline “Positioning therapy and early mobilization for the prophylaxis or therapy of pulmonary dysfunction” of the German Society for Anesthesia and Intensive Care Medicine, every patient for whom no exclusion criteria apply should be mobilized twice a day for 20 minutes each, algorithm-supported, within the first 72 h after admission to the ICU.
The aim is to counteract the negative effects of immobility [1], such as neuromuscular and scelletal atrophy, psychological stress, deconditioning of the cardiovascular system and respiratory system. An estimated 5% of infected patients become severely ill and often present with respiratory disease with massive oxygenation disturbance leading to respiratory global insufficiency, ARDS (Acute Respiratory Distress Syndrome) [3].

In our article, we will go into the mode of operation and the advantages of successful stimulation by the vibration module. First, the patient is verticalized (straightened up). It is recommended to put the patient in a position where the seat inclination is at least 10° forward. A complete standing position is desirable, but not a prerequisite for successful stimulation. The sensory system can also be stimulated while the patient is lying or sitting. Studies show that local increased blood flow (primarily in the sole of the foot and lower leg) is initiated via the deep tissue stimulation. This leads to a stimulation of the musculature and the bone metabolism. Vibration or sound waves hit muscles, tendons and nerves and trigger a tonic vibration reflex (TVR).

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The term early mobilisation is used to describe all measures to move and activate patients as early as possible.
Das beginnt nicht erst mit dem Essen an der Bettkante und der Körperpflege am Waschbecken. Oder einfacher ausgedrückt: Jede Maßnahme der aktiven oder passiven Bewegung, die geeignet ist, die Bewegungsfähigkeit zu erhalten.

Im Bereich der Intensivmedizin soll die Frühmobilisierung bereits 72 Stunden* nach Aufnahme auf einer Intensivstation beginnen.
*S2e-Leitlinie – „Lagerungstherapie und Frühmobilisation zur Prophylaxe oder Therapie von pulmonalen Funktionsstörungen“

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