Mobility and Function

David McWilliams, Owen Gustafson

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


Patients experiencing critical illness often have extreme derangement of physiological function requiring admission to an intensive care unit (ICU). Within the ICU, there is an initial focus on aggressive life support, coupled with continuous monitoring and treatment for organ failure. While providing this care, management of the critically ill patient has traditionally involved supine or semi-recumbent positioning and bed rest, mechanical ventilation, analgesia, and sedation but with historically little attention placed on long-term outcomes and in particular neuromuscular function. Consequently, survivors of critical illness often experience significant physical, psychological and cognitive morbidity, the effects of which can last for months to years after hospital (Herridge et al., N Engl J Med 364(14):1293–304, 2011).

Preventing or minimising the physical consequences of critical illness and supporting recovery from intensive care are, therefore, essential to improve patient outcomes. This has placed an increased focus on the importance of early rehabilitation during intensive care, followed by structured and comprehensive programmes of rehabilitation throughout the recovery period.
Original languageEnglish
Title of host publicationPassport to Successful ICU Discharge
EditorsCarol Boulanger, David McWilliams
PublisherSpringer International Publishing
Number of pages14
ISBN (Electronic)9783030389161
ISBN (Print)9783030389154
Publication statusPublished - 5 Jun 2020
Externally publishedYes

Publication series

NamePassport to Successful ICU Discharge


  • Rehabilitation
  • Recovery
  • Excercise
  • Physiotherapy
  • Mobilisation


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