21 © Springer Nature Switzerland AG 2021
K. J. Haines et al. (eds.), Improving Critical Care Survivorship,
https://doi.org/10.1007/978-3-030-68680-2_2
Chapter 2
Implementing Early Mobilisation
in the Intensive Care Unit
Jenna K. Lang, Stefan J. Schaller, and Carol L. Hodgson
What Is the Impact of Implementing Early Mobilisation
in the Intensive Care Unit?
As critical care survivorship improves, research has increasingly focused on inter-
ventions which may prevent or manage critical illness-related morbidity [1].
Physically, intensive care impacts negatively on muscle and nerve structure and
function with the literature supporting an incidence of intensive care unit-acquired
weakness (ICU-AW) more than 50% in patients requiring prolonged mechanical
ventilation [2, 3]. There is an association between ICU-AW and poorer outcomes
including mortality, length of stay and physical function [3–5]. Early mobilisation
J. K. Lang
Australian and New Zealand Intensive Care Research Centre, Monash University,
Melbourne, VIC, Australia
Department of Physiotherapy, Western Health, Melbourne, VIC, Australia
e-mail: jenna.lang@monash.edu
S. J. Schaller
Charité—Universitätsmedizin Berlin, corporate member of Freie Universität Berlin,
Humboldt-Universität zu Berlin, Berlin, Germany
Berlin Institute of Health, Department of Anesthesiology and Surgical Intensive Care,
Berlin, Germany
e-mail: stefan.schaller@charite.de
C. L. Hodgson (*)
Australian and New Zealand Intensive Care Research Centre, Monash University,
Melbourne, VIC, Australia
The Alfred Health, Melbourne, VIC, Australia
Division of Clinical Trials and Cohort Studies, School of Public Health and Preventive
Medicine, Monash University, Melbourne, VIC, Australia
e-mail: carol.hodgson@monash.edu