Critical Care & ICU
RT300 Supine Leg | Arm | Core helps patients early. It allows patients to participate from supine, semi-reclined, or seated positions providing mobilization for a wide variety of patients. Patients can benefit whether they are sedated and mechanically ventilated or awake and alert.
Immediately upon stabilization of hemodynamic and respiratory physiology, generally within 24-hours after ICU admission (Bailey, 2009). RT300 Supine Leg | Arm | Core allows for early mobility from a bed, edge of bed, or beside chair.
Research into early mobility programs of physical and occupational therapy combined with less sedation is showing improved patient outcomes such as:
- Shorter length of stays (i)
- Shorter duration of delirium and more ventilator-free days (ii)
- Improved physical outcomes and independence at discharge (ii)
Keeping severely ill patients more active and awake in ICU is not only possible, it’s helpful for the patient and hopeful for everyone involved in their care.
Outcomes of early mobility have been reported to include:
- Safety and feasibility in a variety of patients/settings
- Improved exercise capacity/muscle strength/muscle remodeling
- Earlier vent weaning
- Motivation of patients to be active in their recovery
- Greater intensity and duration of mobilization (compared to standard forms of early mobility)
- Improved function
- Reduced delirium
i. Needham,D. et al. Early physical medicine and rehabilitation for patients with acute respiratory failure: a quality improvement project. Arch Phys Med Rehabil. 2010 Apr;91(4):536-42. doi: 10.1016/j.apmr.2010.01.002.
ii. Schwiekert WD et al. Early physical and occupational therapy in mechanically ventilated, critically ill patients: a randomised controlled trial. Lancet. 2009 May 30;373(9678):1874-82. doi: 10.1016/S0140-6736(09)60658-9. Epub 2009 May 14.
Yes, in addition to RT300 Supine Leg | Arm | Core used for active, passive, or assistive activity, iFES is available for legs or arms and core. iFES can facilitate an active muscle contraction in weak or paralyzed muscles. Typically, six channels of stimulation are used when iFES is used in critically ill patients.
Any of the major muscle groups in the lower and upper extremities, including shoulders and core can be selected for FES depending on patient’s needs and the specific iFES therapy system model being used. The most common muscles used with iFES in ICU in the lower extremity are quadriceps, hamstrings, tibialis anterior, and in the upper extremity are biceps, triceps, and shoulder.