Building a culture of early mobilization in the pediatric intensive care unit-a nuts and bolts approach.

ABSTRACT: The culture of sedation and immobilization in the pediatric intensive care unit (PICU) is associated with PICU-acquired weakness, delirium, and poor functional, neurocognitive and psychosocial outcomes. A structured approach to introducing physical activity, as early as possible after PICU admission, may prevent these complications and optimize the holistic outcomes of critically ill children. Changing culture and introducing new clinical practice in PICU is complex, but can be approached systematically, using a "nuts and bolts" approach targeting the basic, practical considerations and essential required elements or components. Extending the construction analogy, this article reviews the relevant literature to describe the essential elements required to build and sustain a successful and

SUBMITTER: Morrow BM 

PROVIDER: S-EPMC8578759 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature