The current situation of early rehabilitation of children with critical illness / 中国小儿急救医学

ABSTRACT

Survivors from pediatric intensive care unit are with high risk of physical, neurocognitive and psychosocial sequelae as results of critical illness.Prolonged immobility is associated with significant short- and long-term morbidities in critically ill children.The present practice on early rehabilitation, especially early mobilization, was briefly summarized in this paper.The definition, content, safety and feasibility, safe criteria, goal setting standard, as well as protocol bundles of early mobilization were all included.The safety and feasibility of early rehabilitation have been demonstrated.Stratified activity goals could be set according to the assessing results.Bringing the early mobilization into ABCDEFGH bundles may improve the recovery and outcomes for critically ill children.Possible effective ways to promote the implementation of early rehabilitation include establishing the practice guidelines, improving the physicians′ awareness of the importance and lightening their concerns on the safety of early rehabilitation, and also involving the families.