Week 9 - Critical Care

Question 1

What are some of the common complications associated with prolonged ITU stay?

Answer 1

De-conditioning
Muscle weakness
Dyspnoea
Depression and anxiety
Reduced health related QOL

Question 2

What does mobilisation refer to in critical care?

Answer 2

Any physical activity sufficient to elicit acute physiological effects, which counter venous stasis and DVT.

Question 3

Name some exclusion criteria for sitting on edge of bed?

Answer 3

Significant dose of vasoactive agents
Mechanically ventilated with FiO2>0.8 and/or PEEP>12 or acutely worsening respiratory failure
NM paralysing agent
Acute neurological event
Unstable spine or extremity fractures
Active bleeding process

Question 4

Name some precautions for SOEOB?

Answer 4

Small dose of vasoactive agents
Mechanically ventilated with FiO2>0.6 and/or PEEP>10
Poor tolerance of ETT 
Open abdomen or high risk of dehiscence
Haemofiltration via a femoral line

Question 5

Name some outcome measures used in critical care

Answer 5

The Chelsea Critical Care Physical Ax Tool

Manchester Mobility Score