The Effect of Early Mobilization on

Respiratory Parameters of Mechanically Ventilated

Patients With Respiratory Failure

Jennifer Reebel
 INTRODUCTION
PATIENT AI, A 74 YEAR OLD FEMALE PRESENTED TO THE
EMERGENCY DEPARTMENT WITH AN INFECTED WOUND.
AFTER THE ADMINISTRATION OF VANCOMYCIN, THE
PATIENT SUFFERED A SEIZURE SENDING HER INTO
HYPOXIC RESPIRATORY FAILURE. THIS REQUIRED
INTUBATION AND THE PATIENT WAS ADMITTED TO THE ICU.

NURSING DIAGNOSES INCLUDED

INEFFECTIVE AIRWAY CLEARANCE
IMPAIRED GAS EXCHANGE
IMPAIRED VERBAL COMMUNICATION
 ARTICLE
OVERVIEW
THROUGHOUT THIS ARTICLE, THE EFFECTS OF EARLY
MOBILIZATION IN VENTILATED PATIENTS WAS DISCUSSED. THE
STUDY SHOWED THAT WHEN EARLY MOBILIZATION WAS USED
ON THESE PATIENTS, PAO2 AND O2 SATURATIONS INCREASED
WHILE PACO2 AND FIO2 DECREASED. THIS STUDY USED A
RANDOMIZED CLINICAL TRIAL THAT CONSISTED OF ABOUT 250
PATIENTS. TWO DIFFERENT SURVEYS WERE USED THAT
ASSESSED DEMOGRAPHICS AND PATIENT ARTERIAL BLOOD
GASSES.
 DISCUSSION
THE RESULTS OF THIS STUDY HAVE SHOWN HOW
EARLY MOBILIZATION CAN HELP NORMALIZE
ARTERIAL BLOOD GASSES. IT WAS SHOWN TO
INCREASE OXYGEN STATUS WHILE DECREASING CO2
LEVELS. THIS CAN BE USED WITH ALMOST EVERY
PATIENT IN THE MICU AS MOST REQUIRE
MECHANICAL VENTILATION. THIS COULD BE APPLIED
TO CARE OF EVERY PATIENT, EVEN IF SEDATED,
WITH THE USE OF PASSIVE RANGE OF MOTION. NOT
ONLY CAN THIS IMPROVE ARTERIAL BLOOD GAS
STATUS BUT CAN PREVENT MUSCLE ATROPHY AND
WOUNDS.
 REFERENCES
REZVANI, H., ESMAEILI, M., MAROUFIZADEH, S., & RAHIMI2, B. (2021). THE
EFFECT OF EARLY MOBILIZATION ON RESPIRATORY PARAMETERS OF
MECHANICALLY VENTILATED PATIENTS WITH RESPIRATORY FAILURE. OFF-
CAMPUS AUTHENTICATION FOR LIBRARY RESOURCES. HTTPS://OCE-OVID-
COM.EPS.CC.YSU.EDU/ARTICLE/00002727-202201000-00011/HTML