The Impact of Early Mobilization on Respiratory Outcomes in Ventilated Patients

Abstract

Background:Prolonged MV may result in multiple complications related to MV in critically ill patients, including VAP, muscular weakness, and difficult or delayed weaning. Early mobilization has emerged as one potentially promising strategy to prevent such complications and improve patient outcomes. However, the effectiveness of EM in improving respiratory outcomes remains debated..
Objective: This review evaluates the available evidence on the impact of early mobilization on respiratory outcomes in mechanically ventilated patients.
Methods: We performed a systematic review of studies published between 2000 and 2023 that examined the effects of early mobilization on respiratory parameters such as VAP incidence, duration of mechanical ventilation, and weaning time.
Results: Most studies indicate that EM can reduce the incidence of VAP, shorten the duration of mechanical ventilation, and improve weaning outcomes. However, the results vary depending on patient population, timing, and methods of mobilization.
Conclusion: Early mobilization appears to be an effective intervention for improving respiratory outcomes in critically ill patients on mechanical ventilation, though further well-designed trials are needed to establish optimal protocols.