Early Mobilization in an Oncology Intensive Care Unit

Cristiani Caroline Carvalho; Fernanda Cristina Chavaglia Marques; Maria Luíza Alves Moreira; Monyque Evelyn Barbosa Batista; Isabella Fernandes Alves; Patricia Regina dos Reis; Daniela Santana Polati da Silveira

doi:doi:10.11648/j.crj.20200801.13

Early Mobilization in an Oncology Intensive Care Unit

Cristiani Caroline Carvalho, Fernanda Cristina Chavaglia Marques, Maria Luíza Alves Moreira, Monyque Evelyn Barbosa Batista, Isabella Fernandes Alves, Patricia Regina dos Reis, Daniela Santana Polati da Silveira

Published in Cancer Research Journal (Volume 8, Issue 1)

Received: 23 August 2019 Accepted: 13 February 2020 Published: 17 March 2020

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Abstract

Introduction: Quality of life and functionality of critically ill cancer patients are significantly affected after ICU admission, with changes due to immobility, hemodynamic instability, muscular atrophy, cognitive deficits, psychological difficulties, decreased cardiovascular functional capacity, neurological deleterious effects on the respiratory system. The physiotherapeutic intervention is effective in preventing and reducing the deleterious dysfunctions of immobility, as well as improving the quality of life of the patient during his / her stay in the ICU. Objective: To carry out a systematic review of literature seeking the benefits of early mobilization in intensive care patients. Methodology: Refers to a systematic literature review, approaching the PRISMA methodology, with two independent examiners who analyzed the quality of the study. We selected as inclusion criteria articles in Portuguese, English and Spanish that refer to the topic of early mobilization in intensive care oncology. Documents that do not associate with the proposed theme were excluded from the search. The articles were searched in the databases: VHL, PUBMED, COCHRANE, PEDRO and EBSCO. Results: For the elaboration of the study, 66 articles were found in the total, where only 8 articles were used because they refer to the use of early mobilization in intensive oncologic therapy. Final considerations: Early mobilization in the ICU is essential in the intervention of the multidisciplinary team on the cognitive, physical and functional aspects along with the kinesiotherapeutic progressivity adequate to the individual needs of each patient, providing significant benefits in the prevention of dysfunctions caused by the immobilism syndrome, resulting in the best quality of life for the patient.

Published in	Cancer Research Journal (Volume 8, Issue 1) This article belongs to the Special Issue Cancer, Health Care Needs and Cancer Patients' Life Quality
DOI	10.11648/j.crj.20200801.13
Page(s)	13-19
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Early Mobilization, Intensive Care Unit, Oncology

References

[1]	De Matos CA, De Meneses JB, Bucoski SCM, Mora CTR, Fréz AR, Daniel CR. Is there a difference in early mobilization between mechanically ventilated clinical and surgical patients in the ICU? Matos et al. Mechanical ventilation and mobilization. 2014; 23: 124-126.
[2]	Murakami FM, Yamguti WP, Onove MA, Mendes JM, Pedrosa RS, Maida ALV, De Salles ICD, De Brito CMM, Rodrigues MK. Functional evolution of critically ill patients undergoing an early rehabilitation protocol. Brazilian Journal of Intensive Care. 2015; 27 (2): 162-163.
[3]	Corner EJ, Murray EJ, Brett SJ. Qualitative, grounded theory exploration of patients' experience of early mobilisation, rehabilitation and recovery after critical illness. BMJ Open. 2019; 9 (2): 1-2
[4]	Warren ML, Pravinkumar C, Frankel S, Nguyen V, Garcia B, Thomas M, Withers L, Nguyen Q, Brydges N. The Implementation and Evaluation of an Early Mobilization Program for CriticallyIll Adult Oncology Patients. University of Texas MD Anderson Cancer Center. 2010; 39 (12) 1-2.
[5]	Weeks A, Campbell C, Rajendram P, Shi w, Voigt L. A Descriptive Report of Early Mobilizationfor Critically Ill Ventilated Patients with Cancer. HHS Public Access. 2018; 35 (3): 2-4.
[6]	De Almeida EPM, De Almeida JP, Landoni G, Galas FRBG, Fukushima JT, Fominskiy E, De Brito CMM, Cavichio LBL, De Almeida LAA, Osawa EA, Diz MPE, Cecatto RB, Battistella LR, Hajjar LA. Early mobilization programme improves functional capacity after major abdominal cancer surgery: a randomized controlled trial. The Cochrane Collaboration. 2017; 19 (5): 1-3.
[7]	Thomas AJ. Physiotherapy led early rehabilitation of the patient with critical illness. Physical Therapy Reviews. 2011; 16: 1-2.
[8]	Van Haren RM, Mehran RJ, Mena GE, Correa AM, Antonoff MB, Baker CM, Woodard TC, Hofstetter WL, Roth JA, Sepesi B, Swisher SG, Vaporciyan AA, Walsh GL, arroz DC. Enhanced recovery decreases as pulmonary and cardiac complications following a thoracotomy for lung cancer. Ann Thorac Surg. 2018; 106 (1): 272-279.
[9]	Engel HJ, Tatebe s, Alonzo PB, Mustille RL, Rivera MJ. Physical Therapist–Established Intensive Care Unit Early Mobilization Program: Quality Improvement Project for Critical Care at the University of California San Francisco Medical Center. 2014; 93 (7): 974-975.
[10]	Shouhed D, Amersi F, Sibert T, Sibert K, Hemaya E, Silberman A. Thromboprophylaxis and Major Oncologic Surgery Performed With Epidural Analgesia. JAMA Surg. 2013; 148 (1): 81-4.
[11]	Yeung JK, Harrop R, McCreary O, Leung LT, BPharm LL, Hirani N, McKenzie D, Haas V, Matthews w, Nakoneshny S, Dort J, Schrag C. Delayed Mobilization After microsurgical Reconstruction: Na Independent. The Laryngoscope. 2013; 123 (12): 2996-3000.
[12]	Chawla R, Myatra Sn, Ramakrishnan N, Todi A, Kansal S, Dash SK. Current practices of mobilization, analgesia, relaxation and sedation in Indian ICUs: a 575–584.
[13]	Silva VS, Pinto JG, Martinez BP, Camelier FWR. Mobilization in the Intensive Care Unit: systematic review Movilización en la Unidad de Cuidados Intensivos: revisión sistemática. Fisioter Pesq. 2014; 21 (4): 398-404.
[14]	Silva APP, Maynard K, Cruz MR. Effects of motor physical therapy in critically ill patients: literature review. Rev Bras Ter Intensiva. 2010; 22 (1): 85-91.
[15]	Doiron KA, Hoffmann TC, Beller EM. Early intervention (mobilization or active exercise) for critically ill adults in the intensive care unit. Cochrane Database of Systematic Reviews. 2018; 10: 1-2.

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APA Style

Cristiani Caroline Carvalho, Fernanda Cristina Chavaglia Marques, Maria Luíza Alves Moreira, Monyque Evelyn Barbosa Batista, Isabella Fernandes Alves, et al. (2020). Early Mobilization in an Oncology Intensive Care Unit. Cancer Research Journal, 8(1), 13-19. https://doi.org/10.11648/j.crj.20200801.13

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ACS Style

Cristiani Caroline Carvalho; Fernanda Cristina Chavaglia Marques; Maria Luíza Alves Moreira; Monyque Evelyn Barbosa Batista; Isabella Fernandes Alves, et al. Early Mobilization in an Oncology Intensive Care Unit. Cancer Res. J. 2020, 8(1), 13-19. doi: 10.11648/j.crj.20200801.13

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AMA Style

Cristiani Caroline Carvalho, Fernanda Cristina Chavaglia Marques, Maria Luíza Alves Moreira, Monyque Evelyn Barbosa Batista, Isabella Fernandes Alves, et al. Early Mobilization in an Oncology Intensive Care Unit. Cancer Res J. 2020;8(1):13-19. doi: 10.11648/j.crj.20200801.13

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@article{10.11648/j.crj.20200801.13,
  author = {Cristiani Caroline Carvalho and Fernanda Cristina Chavaglia Marques and Maria Luíza Alves Moreira and Monyque Evelyn Barbosa Batista and Isabella Fernandes Alves and Patricia Regina dos Reis and Daniela Santana Polati da Silveira},
  title = {Early Mobilization in an Oncology Intensive Care Unit},
  journal = {Cancer Research Journal},
  volume = {8},
  number = {1},
  pages = {13-19},
  doi = {10.11648/j.crj.20200801.13},
  url = {https://doi.org/10.11648/j.crj.20200801.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.crj.20200801.13},
  abstract = {Introduction: Quality of life and functionality of critically ill cancer patients are significantly affected after ICU admission, with changes due to immobility, hemodynamic instability, muscular atrophy, cognitive deficits, psychological difficulties, decreased cardiovascular functional capacity, neurological deleterious effects on the respiratory system. The physiotherapeutic intervention is effective in preventing and reducing the deleterious dysfunctions of immobility, as well as improving the quality of life of the patient during his / her stay in the ICU. Objective: To carry out a systematic review of literature seeking the benefits of early mobilization in intensive care patients. Methodology: Refers to a systematic literature review, approaching the PRISMA methodology, with two independent examiners who analyzed the quality of the study. We selected as inclusion criteria articles in Portuguese, English and Spanish that refer to the topic of early mobilization in intensive care oncology. Documents that do not associate with the proposed theme were excluded from the search. The articles were searched in the databases: VHL, PUBMED, COCHRANE, PEDRO and EBSCO. Results: For the elaboration of the study, 66 articles were found in the total, where only 8 articles were used because they refer to the use of early mobilization in intensive oncologic therapy. Final considerations: Early mobilization in the ICU is essential in the intervention of the multidisciplinary team on the cognitive, physical and functional aspects along with the kinesiotherapeutic progressivity adequate to the individual needs of each patient, providing significant benefits in the prevention of dysfunctions caused by the immobilism syndrome, resulting in the best quality of life for the patient.},
 year = {2020}
}

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TY  - JOUR
T1  - Early Mobilization in an Oncology Intensive Care Unit
AU  - Cristiani Caroline Carvalho
AU  - Fernanda Cristina Chavaglia Marques
AU  - Maria Luíza Alves Moreira
AU  - Monyque Evelyn Barbosa Batista
AU  - Isabella Fernandes Alves
AU  - Patricia Regina dos Reis
AU  - Daniela Santana Polati da Silveira
Y1  - 2020/03/17
PY  - 2020
N1  - https://doi.org/10.11648/j.crj.20200801.13
DO  - 10.11648/j.crj.20200801.13
T2  - Cancer Research Journal
JF  - Cancer Research Journal
JO  - Cancer Research Journal
SP  - 13
EP  - 19
PB  - Science Publishing Group
SN  - 2330-8214
UR  - https://doi.org/10.11648/j.crj.20200801.13
AB  - Introduction: Quality of life and functionality of critically ill cancer patients are significantly affected after ICU admission, with changes due to immobility, hemodynamic instability, muscular atrophy, cognitive deficits, psychological difficulties, decreased cardiovascular functional capacity, neurological deleterious effects on the respiratory system. The physiotherapeutic intervention is effective in preventing and reducing the deleterious dysfunctions of immobility, as well as improving the quality of life of the patient during his / her stay in the ICU. Objective: To carry out a systematic review of literature seeking the benefits of early mobilization in intensive care patients. Methodology: Refers to a systematic literature review, approaching the PRISMA methodology, with two independent examiners who analyzed the quality of the study. We selected as inclusion criteria articles in Portuguese, English and Spanish that refer to the topic of early mobilization in intensive care oncology. Documents that do not associate with the proposed theme were excluded from the search. The articles were searched in the databases: VHL, PUBMED, COCHRANE, PEDRO and EBSCO. Results: For the elaboration of the study, 66 articles were found in the total, where only 8 articles were used because they refer to the use of early mobilization in intensive oncologic therapy. Final considerations: Early mobilization in the ICU is essential in the intervention of the multidisciplinary team on the cognitive, physical and functional aspects along with the kinesiotherapeutic progressivity adequate to the individual needs of each patient, providing significant benefits in the prevention of dysfunctions caused by the immobilism syndrome, resulting in the best quality of life for the patient.
VL  - 8
IS  - 1
ER  -

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Author Information

Cristiani Caroline Carvalho

Physiotherapy Department of the University of Franca, University of Franca, Franca - S?o Paulo, Brasil
Fernanda Cristina Chavaglia Marques

Physiotherapy Department of the University of Franca, University of Franca, Franca - S?o Paulo, Brasil
Maria Luíza Alves Moreira

Physiotherapy Department of the University of Franca, University of Franca, Franca - S?o Paulo, Brasil
Monyque Evelyn Barbosa Batista

Physiotherapy Department of the University of Franca, University of Franca, Franca - S?o Paulo, Brasil
Isabella Fernandes Alves

Physiotherapy Department of the University of Franca, University of Franca, Franca - S?o Paulo, Brasil
Patricia Regina dos Reis

Physiotherapy Department of the University of Franca, University of Franca, Franca - S?o Paulo, Brasil
Daniela Santana Polati da Silveira

Physiotherapy Department of the University of Franca, University of Franca, Franca - S?o Paulo, Brasil

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APA Style

Cristiani Caroline Carvalho, Fernanda Cristina Chavaglia Marques, Maria Luíza Alves Moreira, Monyque Evelyn Barbosa Batista, Isabella Fernandes Alves, et al. (2020). Early Mobilization in an Oncology Intensive Care Unit. Cancer Research Journal, 8(1), 13-19. https://doi.org/10.11648/j.crj.20200801.13

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ACS Style

Cristiani Caroline Carvalho; Fernanda Cristina Chavaglia Marques; Maria Luíza Alves Moreira; Monyque Evelyn Barbosa Batista; Isabella Fernandes Alves, et al. Early Mobilization in an Oncology Intensive Care Unit. Cancer Res. J. 2020, 8(1), 13-19. doi: 10.11648/j.crj.20200801.13

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AMA Style

Cristiani Caroline Carvalho, Fernanda Cristina Chavaglia Marques, Maria Luíza Alves Moreira, Monyque Evelyn Barbosa Batista, Isabella Fernandes Alves, et al. Early Mobilization in an Oncology Intensive Care Unit. Cancer Res J. 2020;8(1):13-19. doi: 10.11648/j.crj.20200801.13

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@article{10.11648/j.crj.20200801.13,
  author = {Cristiani Caroline Carvalho and Fernanda Cristina Chavaglia Marques and Maria Luíza Alves Moreira and Monyque Evelyn Barbosa Batista and Isabella Fernandes Alves and Patricia Regina dos Reis and Daniela Santana Polati da Silveira},
  title = {Early Mobilization in an Oncology Intensive Care Unit},
  journal = {Cancer Research Journal},
  volume = {8},
  number = {1},
  pages = {13-19},
  doi = {10.11648/j.crj.20200801.13},
  url = {https://doi.org/10.11648/j.crj.20200801.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.crj.20200801.13},
  abstract = {Introduction: Quality of life and functionality of critically ill cancer patients are significantly affected after ICU admission, with changes due to immobility, hemodynamic instability, muscular atrophy, cognitive deficits, psychological difficulties, decreased cardiovascular functional capacity, neurological deleterious effects on the respiratory system. The physiotherapeutic intervention is effective in preventing and reducing the deleterious dysfunctions of immobility, as well as improving the quality of life of the patient during his / her stay in the ICU. Objective: To carry out a systematic review of literature seeking the benefits of early mobilization in intensive care patients. Methodology: Refers to a systematic literature review, approaching the PRISMA methodology, with two independent examiners who analyzed the quality of the study. We selected as inclusion criteria articles in Portuguese, English and Spanish that refer to the topic of early mobilization in intensive care oncology. Documents that do not associate with the proposed theme were excluded from the search. The articles were searched in the databases: VHL, PUBMED, COCHRANE, PEDRO and EBSCO. Results: For the elaboration of the study, 66 articles were found in the total, where only 8 articles were used because they refer to the use of early mobilization in intensive oncologic therapy. Final considerations: Early mobilization in the ICU is essential in the intervention of the multidisciplinary team on the cognitive, physical and functional aspects along with the kinesiotherapeutic progressivity adequate to the individual needs of each patient, providing significant benefits in the prevention of dysfunctions caused by the immobilism syndrome, resulting in the best quality of life for the patient.},
 year = {2020}
}

Copy | Download

TY  - JOUR
T1  - Early Mobilization in an Oncology Intensive Care Unit
AU  - Cristiani Caroline Carvalho
AU  - Fernanda Cristina Chavaglia Marques
AU  - Maria Luíza Alves Moreira
AU  - Monyque Evelyn Barbosa Batista
AU  - Isabella Fernandes Alves
AU  - Patricia Regina dos Reis
AU  - Daniela Santana Polati da Silveira
Y1  - 2020/03/17
PY  - 2020
N1  - https://doi.org/10.11648/j.crj.20200801.13
DO  - 10.11648/j.crj.20200801.13
T2  - Cancer Research Journal
JF  - Cancer Research Journal
JO  - Cancer Research Journal
SP  - 13
EP  - 19
PB  - Science Publishing Group
SN  - 2330-8214
UR  - https://doi.org/10.11648/j.crj.20200801.13
AB  - Introduction: Quality of life and functionality of critically ill cancer patients are significantly affected after ICU admission, with changes due to immobility, hemodynamic instability, muscular atrophy, cognitive deficits, psychological difficulties, decreased cardiovascular functional capacity, neurological deleterious effects on the respiratory system. The physiotherapeutic intervention is effective in preventing and reducing the deleterious dysfunctions of immobility, as well as improving the quality of life of the patient during his / her stay in the ICU. Objective: To carry out a systematic review of literature seeking the benefits of early mobilization in intensive care patients. Methodology: Refers to a systematic literature review, approaching the PRISMA methodology, with two independent examiners who analyzed the quality of the study. We selected as inclusion criteria articles in Portuguese, English and Spanish that refer to the topic of early mobilization in intensive care oncology. Documents that do not associate with the proposed theme were excluded from the search. The articles were searched in the databases: VHL, PUBMED, COCHRANE, PEDRO and EBSCO. Results: For the elaboration of the study, 66 articles were found in the total, where only 8 articles were used because they refer to the use of early mobilization in intensive oncologic therapy. Final considerations: Early mobilization in the ICU is essential in the intervention of the multidisciplinary team on the cognitive, physical and functional aspects along with the kinesiotherapeutic progressivity adequate to the individual needs of each patient, providing significant benefits in the prevention of dysfunctions caused by the immobilism syndrome, resulting in the best quality of life for the patient.
VL  - 8
IS  - 1
ER  -

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