Walker Tracie C, Kudchadkar Sapna R
Department of Anesthesiology & Critical Care Medicine, Johns Hopkins University School of Medicine, Charlotte R. Bloomberg Children's Center, Baltimore, MD, USA.
Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Transl Pediatr. 2018 Oct;7(4):308-313. doi: 10.21037/tp.2018.09.02.
Survivors of critical illness often experience multiple morbidities that start in the intensive care unit and impact their quality of life after discharge. Reduced physical function, cognitive decline, feeding disorders, and psychological stress are just a few of the potential complications. Many of these morbidities can lead to a reduced quality of life and lifelong impediments. Early mobilization, an intervention that is intended to maintain or restore musculoskeletal strength in the critically ill, has the potential to also yield positive psychological and cognitive benefits. In adults, early mobilization has been shown to be safe, decrease the incidence of delirium, and decrease length of stay. Early mobilization of the pediatric critically ill patient is still a novel topic with a growing body of research. This article will review the current literature on early mobilization of the pediatric critically ill patient.
危重症幸存者常常会出现多种疾病，这些疾病始于重症监护病房，并在出院后影响他们的生活质量。身体功能下降、认知衰退、进食障碍和心理压力只是一些潜在的并发症。这些疾病中的许多都会导致生活质量下降和终身障碍。早期活动，这一旨在维持或恢复危重症患者肌肉骨骼力量的干预措施，也有可能产生积极的心理和认知益处。在成年人中，早期活动已被证明是安全的，可降低谵妄的发生率，并缩短住院时间。儿科危重症患者的早期活动仍然是一个新课题，相关研究正在不断增加。本文将综述有关儿科危重症患者早期活动的当前文献。
