Mobilization of intensive care patients: a multidisciplinary practical guide for clinicians

Figures & data

Figure 1 Mobilization flowchart.

Notes: (A) Decision making flowchart for mobilization of ICU patients. *If hemiplegic, ≥ 3/5 on intact side. (B) Nursing guideline for mobilization of ICU patients.

Abbreviation: ICU, intensive care unit.

Figure 2 Passive mobilization.

Notes: Passive mobilization – hoist transfer from bed to chair for an unresponsive intubated patient. Note the support of the airway and organization of lines.

Figure 3 Phase 1 mobilization.

Notes: (A) Tilt table for an awake intubated patient performing squats with assistance. This patient was unable to achieve supported weight-bearing with a gait harness. Note the nurse managing airway and physiotherapists providing support to knees. (B) Sitting balance with a ventilator-dependent patient. Note the nurse providing airway support while physiotherapists assist balance behind and in front of the patient.

Figure 4 Phase 2 mobilization: supported weight-bearing for an intubated patient with primary central nervous system pathology.

Notes: Note the gait harness providing body weight support through the pelvis and physiotherapists assisting with hip and knee control while the nurse supports the airway.

Figure 5 Phase 2 mobilization: active mobilization of awake intubated patients.

Notes: (A) With a ventilator and portable monitoring. Note the spare oxygen cylinders suspended from the forearm support frame. Support staff are following the patient with a chair. (B) With resuscitator bag. Note the bariatric forearm support frame and organization of attachments on the portable pole. Both the physiotherapist and nurse are assisting the patient to steer the frame.

Figure 6 Plan B mnemonic for mobilization of intubated patients.

Abbreviation: MDT, multidisciplinary team.