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Early Mobilization Prescription in Patients Undergoing Cardiac Surgery: Systematic Review
Borges, Mayara Gabrielle Barbosa; Borges, Daniel Lago; Ribeiro, Mariane Oliveira; Lima, Lara Susan Silva; Macedo, Karolina Carneiro Morais; Nina, Vinicius José da Silva.
  • Borges, Mayara Gabrielle Barbosa; Hospital Universitário da Universidade Federal do Maranhão (UFMA). Department of Physiotherapy. São Luís. BR
  • Borges, Daniel Lago; Hospital Universitário da Universidade Federal do Maranhão (UFMA). Department of Physiotherapy. São Luís. BR
  • Ribeiro, Mariane Oliveira; Faculdade Pitágoras. Faculty of Physiotherapy. São Luís. BR
  • Lima, Lara Susan Silva; Hospital Universitário da Universidade Federal do Maranhão (UFMA). Multiprofessional Residency Program. São Luís. BR
  • Macedo, Karolina Carneiro Morais; Department of Physiotherapy. Faculdade Pitágoras. São Luís. BR
  • Nina, Vinicius José da Silva; Universidade Federal do Maranhão (UFMA). Postgraduate Program in Health Sciences. São Luís. BR
Rev. bras. cir. cardiovasc ; 37(2): 227-238, Apr. 2022. tab, graf
Article in English | LILACS-Express | LILACS | ID: biblio-1376510
ABSTRACT
ABSTRACT

Introduction:

Early mobilization of patients in the postoperative period of cardiac surgery who are hospitalized in the intensive care unit (ICU) is a practice that has a positive impact.

Methods:

This is a systematic review of studies published until September 2020 in the Medical Literature Analysis and Retrieval System Online (or MEDLINE®), Embase, Physiotherapy Evidence Database (or PEDro), Scientific Electronic Library Online (or SciELO), and Latin American and Caribbean Health Sciences Literature (or LILACS) databases. Randomized clinical trials describing mobilization protocols performed early in ICU patients after cardiac surgery were included.

Results:

According to the eligibility criteria, only 14 of the 1,128 articles found were included in the analysis. Early mobilization protocols were initiated in the immediate postoperative period or first postoperative day. The resources and technics used were progressive mobilization, cycle ergometer, early bed activities, walking protocols, resistance exercise, and virtual reality. Intensity of the mobilization activities was determined using the Borg scale and heart rate.

Conclusion:

Early mobilization protocols are generalist (not individual), and low-intensity exercises are used, through progressive mobilization, with two daily physical therapy sessions, during 10 to 30 minutes.


Full text: Available Index: LILACS (Americas) Type of study: Controlled clinical trial / Practice guideline / Systematic reviews Language: English Journal: Rev. bras. cir. cardiovasc Journal subject: Cardiology / General Surgery Year: 2022 Type: Article Affiliation country: Brazil / Spain Institution/Affiliation country: Department of Physiotherapy/BR / Faculdade Pitágoras/BR / Hospital Universitário da Universidade Federal do Maranhão (UFMA)/BR

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Full text: Available Index: LILACS (Americas) Type of study: Controlled clinical trial / Practice guideline / Systematic reviews Language: English Journal: Rev. bras. cir. cardiovasc Journal subject: Cardiology / General Surgery Year: 2022 Type: Article Affiliation country: Brazil / Spain Institution/Affiliation country: Department of Physiotherapy/BR / Faculdade Pitágoras/BR / Hospital Universitário da Universidade Federal do Maranhão (UFMA)/BR