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Early Mobilization in PICU: Are We on Time?

  • Pediatrics in South America (L Landry and WB de Carvalho, Section Editors)
  • Published:
Current Treatment Options in Pediatrics Aims and scope Submit manuscript

Abstract

Purpose of review

Elements based on specific literature to assist in the elaboration of an early mobilization (EM) protocol for severely ill children in a pediatric intensive care unit or in an inpatient care unit.

Recent findings

Recent findings have shown that immobility during critical periods of the disease may cause physical, neuromusculoskeletal, metabolic, cognitive, and psychological sequelae that may extend throughout life. Prolonged bed rest is associated with thromboembolic events, decreased protein synthesis and muscle mass, and increased risk of death. Children surviving from serious illnesses have an increased risk of delay in overall recovery, resulting in poor quality of life and increased costs of post-discharge health services in the short, medium, and long term.

Summary

Further research is needed to delineate protocols for specific populations in PICU as well as to find associations between interventions in PICU with EM, and with outcome times spent in PICU and hospital, need for care after hospital discharge, death and quality of life, among others.

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References and Recommended Reading

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Author information

Authors and Affiliations

  1. Neonatology and Intensive Care Pediatrics Department, University of São Paulo (USP), São Paulo, SP, Brazil

    Cíntia Johnston PhD

  2. São Paulo, SP, Brazil

    Cíntia Johnston PhD

  3. Pediatrics Department, Neonatology Division, USP, São Paulo, SP, Brazil

    Vera L. J. Krebs PhD

  4. Neonatology/Intensive Care, Pediatrics Department, USP, São Paulo, SP, Brazil

    Werther Brunow de Carvalho PhD

  5. Pediatrics Department, USP, São Paulo, SP, Brazil

    Magda Carneiro-Sampaio PhD

Authors
  1. Cíntia Johnston PhD
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  2. Vera L. J. Krebs PhD
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  3. Werther Brunow de Carvalho PhD
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  4. Magda Carneiro-Sampaio PhD
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Correspondence to Cíntia Johnston PhD.

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All authors declare that they have no conflict of interest.

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This article is part of the Topical Collection on Pediatrics in South America

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Johnston, C., Krebs, V.L.J., de Carvalho, W.B. et al. Early Mobilization in PICU: Are We on Time?. Curr Treat Options Peds 5, 397–405 (2019). https://doi.org/10.1007/s40746-019-00172-5

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  • DOI: https://doi.org/10.1007/s40746-019-00172-5

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