Qualitative systematic review of the safety and feasibility of early mobilization in critically ill patients with femoral catheters_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

WANG Yuqiang ¹ , GUO Yingqiang ¹ , HUANG Wei ^2,3 , LI Lei ^2,3 , SHI Jun ¹ ,  YU Pengming ^2,3

1. Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China;
2. Rehabilitation Medical Center, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China;
3. Rehabilitation Key Laboratory of Sichuan Province, Chengdu, 610041, P. R. China;

Corresponding author：

YU Pengming, Email: 13438201451@126.com

Keywords：

Femoral catheters; early mobilization; safety; feasibility; qualitative systematic review

DOI：

10.7507/1007-4848.202108012

Video：

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Objective To investigate the safety and feasibility of early mobilization in critically ill patients with femoral catheters, and to provide reference for guiding clinical rehabilitation training. Methods The literature on the safety and feasibility of early mobilization in critically ill patients with femoral catheters included in PubMed, EMbase, OVID, Springer-link, Wiley Online Library, and Web of Science up to June 2021 was searched, and relevant data were extracted for analysis. Results Seventy-two papers were initially screened, and 12 papers that met the criteria were finally included, covering 1 056 patients, and 489 patients had femoral catheters. Patients underwent 6 495 sessions of physical therapy, and a total of 62 patients had adverse events, including 14 (2.86%, 14/489) patients with catheter-related adverse events. Conclusion Although early mobilization in critically ill patients with femoral catheters may lead to adverse catheter-related events, the incidence is low. Therefore, the associated risks and benefits should be weighed in clinical practice, and femoral catheter is not recommended as a contraindication for early mobilization in critically ill patients.

Citation： WANG Yuqiang, GUO Yingqiang, HUANG Wei, LI Lei, SHI Jun, YU Pengming. Qualitative systematic review of the safety and feasibility of early mobilization in critically ill patients with femoral catheters. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2023, 30(3): 434-439. doi: 10.7507/1007-4848.202108012 Copy

1.	Perme C, Lettvin C, Throckmorton TA, et al. Early mobility and walking for patients with femoral arterial catheters in intensive care unit: A case series, J Acute Care Phys Ther, 2011, 2(1): 30-34.
2.	Damluji A, Zanni JM, Mantheiy E, et al. Safety and feasibility of femoral catheters during physical rehabilitation in the intensive care unit. J Crit Care, 2013, 28(4): 535.e9-535.e15.
3.	Burkhoff D, Sayer G, Doshi D, et al. Hemodynamics of mechanical circulatory support. J Am Coll Cardiol, 2015, 66(23): 2663-2674.
4.	Frezza EE, Mezghebe H. Indications and complications of arterial catheter use in surgical or medical intensive care units: Analysis of 4932 patients. Am Surg, 1998, 64(2): 127-131.
5.	Denehy L, Lanphere J, Needham DM. Ten reasons why ICU patients should be mobilized early. Intensive Care Med, 2017, 43(1): 86-90.
6.	Leditschke IA, Green M, Irvine J, et al. What are the barriers to mobilizing intensive care patients? Cardiopulm Phys Ther J, 2012, 23(1): 26-29.
7.	Hodgson CL, Stiller K, Needham DM, et al. Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults. Crit Care, 2014, 18(6): 658.
8.	Abrams D, Javidfar J, Farrand E, et al. Early mobilization of patients receiving extracorporeal membrane oxygenation: A retrospective cohort study. Crit Care, 2014, 18(1): R38.
9.	Ko Y, Cho YH, Park YH, et al. Feasibility and safety of early physical therapy and active mobilization for patients on extracorporeal membrane oxygenation. ASAIO J, 2015, 61(5): 564-568.
10.	Perme C, Nalty T, Winkelman C, et al. Safety and efficacy of mobility interventions in patients with femoral catheters in the ICU: A prospective observational study. Cardiopulm Phys Ther J, 2013, 24(2): 12-17.
11.	Wang YT, Haines TP, Ritchie P, et al. Early mobilization on continuous renal replacement therapy is safe and may improve filter life. Crit Care, 2014, 18(4): R161.
12.	Toonstra AL, Zanni JM, Sperati CJ, et al. Feasibility and safety of physical therapy during continuous renal replacement therapy in the intensive care unit. Ann Am Thorac Soc, 2016, 13(5): 699-704.
13.	Wells CL, Forrester J, Vogel J, et al. Safety and feasibility of early physical therapy for patients on extracorporeal membrane oxygenator: University of Maryland Medical Center experience. Crit Care Med, 2018, 46(1): 53-59.
14.	Mayer KP, Hornsby AR, Soriano VO, et al. Safety, feasibility, and efficacy of early rehabilitation in patients requiring continuous renal replacement: A quality improvement study. Kidney Int Rep, 2019, 5(1): 39-47.
15.	Lima NP, Silva GM, Park M, et al. Mobility therapy and central or peripheral catheter-related adverse events in an ICU in Brazil. J Bras Pneumol, 2015, 41(3): 225-230.
16.	Lee H, Ko YJ, Jung J, et al. Monitoring of potential safety events and vital signs during active mobilization of patients undergoing continuous renal replacement therapy in a medical intensive care unit. Blood Purif, 2016, 42(1): 83-90.
17.	Abrams D, Madahar P, Eckhardt CM, et al. Early mobilization during ECMO for cardiopulmonary failure in adults: Factors associated with intensity of treatment. Ann Am Thorac Soc, 2021, 19(1): 90-98.
18.	Fuest K, Schaller SJ. Recent evidence on early mobilization in critical-ill patients. Curr Opin Anaesthesiol, 2018, 31(2): 144-150.
19.	Hashem MD, Nelliot A, Needham DM. Early mobilization and rehabilitation in the ICU: Moving back to the future. Respir Care, 2016, 61(7): 971-979.
20.	Parry SM, Puthucheary ZA. The impact of extended bed rest on the musculoskeletal system in the critical care environment. Extrem Physiol Med, 2015, 4: 16.
21.	Stiller K. Physiotherapy in intensive care: An updated systematic review. Chest, 2013, 144(3): 825-847.
22.	Zhang L, Hu W, Cai Z, et al. Early mobilization of critically ill patients in the intensive care unit: A systematic review and meta-analysis. PLoS One, 2019, 14(10): e0223185.
23.	Kondo Y, Fuke R, Hifumi T, et al. Early rehabilitation for the prevention of postintensive care syndrome in critically ill patients: A study protocol for a systematic review and meta-analysis. BMJ Open, 2017, 7(3): e013828.
24.	de Jonghe B, Lacherade JC, Sharshar T, et al. Intensive care unit-acquired weakness: Risk factors and prevention. Crit Care Med, 2009, 37(10 Suppl): S309-S315.
25.	Clements L, Moore M, Tribble T, et al. Reducing skin breakdown in patients receiving extracorporeal membranous oxygenation. Nurs Clin North Am, 2014, 49(1): 61-68.
26.	De Jonghe B, Lacherade JC, Durand MC, et al. Critical illness neuromuscular syndromes. Crit Care Clin, 2007, 23(1): 55-69.
27.	Brocki BC, Andreasen JJ, Langer D, et al. Postoperative inspiratory muscle training in addition to breathing exercises and early mobilization improves oxygenation in high-risk patients after lung cancer surgery: A randomized controlled trial. Eur J Cardiothorac Surg, 2016, 49(5): 1483-1491.
28.	Doiron KA, Hoffmann TC, Beller EM. Early intervention (mobilization or active exercise) for critically ill adults in the intensive care unit. Cochrane Database Syst Rev, 2018, 3(3): CD010754.
29.	Paton M, Lane R, Hodgson CL. Early mobilization in the intensive care unit to improve long-term recovery. Crit Care Clin, 2018, 34(4): 557-571.
30.	Schweickert WD, Pohlman MC, Pohlman AS, et al. Early physical and occupational therapy in mechanically ventilated, critically ill patients: A randomised controlled trial. Lancet, 2009, 373(9678): 1874-1882.
31.	Morris PE, Goad A, Thompson C, et al. Early intensive care unit mobility therapy in the treatment of acute respiratory failure. Crit Care Med, 2008, 36(8): 2238-2243.
32.	Decker LM, Mumper VA, Russell SP, et al. Safety with mobilization and ambulation during physical therapy sessions for patients on mechanical circulatory support 50 days or greater. J Acute Care Phys Ther, 2019, 10(3): 85-92.
33.	TEAM Study Investigators, Hodgson C, Bellomo R, et al. Early mobilization and recovery in mechanically ventilated patients in the ICU: A bi-national, multi-centre, prospective cohort study. Crit Care, 2015, 19(1): 81.
34.	Johnson JK, Lohse B, Bento HA, et al. Improving outcomes for critically ill cardiovascular patients through increased physical therapy staffing. Arch Phys Med Rehabil, 2019, 100(2): 270-277.
35.	Hickmann CE, Castanares-Zapatero D, Bialais E, et al. Teamwork enables high level of early mobilization in critically ill patients. Ann Intensive Care, 2016, 6(1): 80.
36.	Ciesla ND, Murdock KR. Lines, tubes, catheters, and physiologic monitoring in the ICU. Cardiopulm Phys Ther J, 2000, 11(1): 16.
37.	Highstead RG, Tipton KD, Creson DL, et al. Incidence of associated events during the performance of invasive procedures in healthy human volunteers. J Appl Physiol (1985), 2005, 98(4): 1202-1206.
38.	Dreyer HC, Fujita S, Cadenas JG, et al. Resistance exercise increases AMPK activity and reduces 4E-BP1 phosphorylation and protein synthesis in human skeletal muscle. J Physiol, 2006, 576(Pt 2): 613-624.
39.	Nydahl P, Sricharoenchai T, Chandra S, et al. Safety of patient mobilization and rehabilitation in the intensive care unit. Systematic review with meta-analysis. Ann Am Thorac Soc, 2017, 14(5): 766-777.

1. Perme C, Lettvin C, Throckmorton TA, et al. Early mobility and walking for patients with femoral arterial catheters in intensive care unit: A case series, J Acute Care Phys Ther, 2011, 2(1): 30-34.
2. Damluji A, Zanni JM, Mantheiy E, et al. Safety and feasibility of femoral catheters during physical rehabilitation in the intensive care unit. J Crit Care, 2013, 28(4): 535.e9-535.e15.
3. Burkhoff D, Sayer G, Doshi D, et al. Hemodynamics of mechanical circulatory support. J Am Coll Cardiol, 2015, 66(23): 2663-2674.
4. Frezza EE, Mezghebe H. Indications and complications of arterial catheter use in surgical or medical intensive care units: Analysis of 4932 patients. Am Surg, 1998, 64(2): 127-131.
5. Denehy L, Lanphere J, Needham DM. Ten reasons why ICU patients should be mobilized early. Intensive Care Med, 2017, 43(1): 86-90.
6. Leditschke IA, Green M, Irvine J, et al. What are the barriers to mobilizing intensive care patients? Cardiopulm Phys Ther J, 2012, 23(1): 26-29.
7. Hodgson CL, Stiller K, Needham DM, et al. Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults. Crit Care, 2014, 18(6): 658.
8. Abrams D, Javidfar J, Farrand E, et al. Early mobilization of patients receiving extracorporeal membrane oxygenation: A retrospective cohort study. Crit Care, 2014, 18(1): R38.
9. Ko Y, Cho YH, Park YH, et al. Feasibility and safety of early physical therapy and active mobilization for patients on extracorporeal membrane oxygenation. ASAIO J, 2015, 61(5): 564-568.
10. Perme C, Nalty T, Winkelman C, et al. Safety and efficacy of mobility interventions in patients with femoral catheters in the ICU: A prospective observational study. Cardiopulm Phys Ther J, 2013, 24(2): 12-17.
11. Wang YT, Haines TP, Ritchie P, et al. Early mobilization on continuous renal replacement therapy is safe and may improve filter life. Crit Care, 2014, 18(4): R161.
12. Toonstra AL, Zanni JM, Sperati CJ, et al. Feasibility and safety of physical therapy during continuous renal replacement therapy in the intensive care unit. Ann Am Thorac Soc, 2016, 13(5): 699-704.
13. Wells CL, Forrester J, Vogel J, et al. Safety and feasibility of early physical therapy for patients on extracorporeal membrane oxygenator: University of Maryland Medical Center experience. Crit Care Med, 2018, 46(1): 53-59.
14. Mayer KP, Hornsby AR, Soriano VO, et al. Safety, feasibility, and efficacy of early rehabilitation in patients requiring continuous renal replacement: A quality improvement study. Kidney Int Rep, 2019, 5(1): 39-47.
15. Lima NP, Silva GM, Park M, et al. Mobility therapy and central or peripheral catheter-related adverse events in an ICU in Brazil. J Bras Pneumol, 2015, 41(3): 225-230.
16. Lee H, Ko YJ, Jung J, et al. Monitoring of potential safety events and vital signs during active mobilization of patients undergoing continuous renal replacement therapy in a medical intensive care unit. Blood Purif, 2016, 42(1): 83-90.
17. Abrams D, Madahar P, Eckhardt CM, et al. Early mobilization during ECMO for cardiopulmonary failure in adults: Factors associated with intensity of treatment. Ann Am Thorac Soc, 2021, 19(1): 90-98.
18. Fuest K, Schaller SJ. Recent evidence on early mobilization in critical-ill patients. Curr Opin Anaesthesiol, 2018, 31(2): 144-150.
19. Hashem MD, Nelliot A, Needham DM. Early mobilization and rehabilitation in the ICU: Moving back to the future. Respir Care, 2016, 61(7): 971-979.
20. Parry SM, Puthucheary ZA. The impact of extended bed rest on the musculoskeletal system in the critical care environment. Extrem Physiol Med, 2015, 4: 16.
21. Stiller K. Physiotherapy in intensive care: An updated systematic review. Chest, 2013, 144(3): 825-847.
22. Zhang L, Hu W, Cai Z, et al. Early mobilization of critically ill patients in the intensive care unit: A systematic review and meta-analysis. PLoS One, 2019, 14(10): e0223185.
23. Kondo Y, Fuke R, Hifumi T, et al. Early rehabilitation for the prevention of postintensive care syndrome in critically ill patients: A study protocol for a systematic review and meta-analysis. BMJ Open, 2017, 7(3): e013828.
24. de Jonghe B, Lacherade JC, Sharshar T, et al. Intensive care unit-acquired weakness: Risk factors and prevention. Crit Care Med, 2009, 37(10 Suppl): S309-S315.
25. Clements L, Moore M, Tribble T, et al. Reducing skin breakdown in patients receiving extracorporeal membranous oxygenation. Nurs Clin North Am, 2014, 49(1): 61-68.
26. De Jonghe B, Lacherade JC, Durand MC, et al. Critical illness neuromuscular syndromes. Crit Care Clin, 2007, 23(1): 55-69.
27. Brocki BC, Andreasen JJ, Langer D, et al. Postoperative inspiratory muscle training in addition to breathing exercises and early mobilization improves oxygenation in high-risk patients after lung cancer surgery: A randomized controlled trial. Eur J Cardiothorac Surg, 2016, 49(5): 1483-1491.
28. Doiron KA, Hoffmann TC, Beller EM. Early intervention (mobilization or active exercise) for critically ill adults in the intensive care unit. Cochrane Database Syst Rev, 2018, 3(3): CD010754.
29. Paton M, Lane R, Hodgson CL. Early mobilization in the intensive care unit to improve long-term recovery. Crit Care Clin, 2018, 34(4): 557-571.
30. Schweickert WD, Pohlman MC, Pohlman AS, et al. Early physical and occupational therapy in mechanically ventilated, critically ill patients: A randomised controlled trial. Lancet, 2009, 373(9678): 1874-1882.
31. Morris PE, Goad A, Thompson C, et al. Early intensive care unit mobility therapy in the treatment of acute respiratory failure. Crit Care Med, 2008, 36(8): 2238-2243.
32. Decker LM, Mumper VA, Russell SP, et al. Safety with mobilization and ambulation during physical therapy sessions for patients on mechanical circulatory support 50 days or greater. J Acute Care Phys Ther, 2019, 10(3): 85-92.
33. TEAM Study Investigators, Hodgson C, Bellomo R, et al. Early mobilization and recovery in mechanically ventilated patients in the ICU: A bi-national, multi-centre, prospective cohort study. Crit Care, 2015, 19(1): 81.
34. Johnson JK, Lohse B, Bento HA, et al. Improving outcomes for critically ill cardiovascular patients through increased physical therapy staffing. Arch Phys Med Rehabil, 2019, 100(2): 270-277.
35. Hickmann CE, Castanares-Zapatero D, Bialais E, et al. Teamwork enables high level of early mobilization in critically ill patients. Ann Intensive Care, 2016, 6(1): 80.
36. Ciesla ND, Murdock KR. Lines, tubes, catheters, and physiologic monitoring in the ICU. Cardiopulm Phys Ther J, 2000, 11(1): 16.
37. Highstead RG, Tipton KD, Creson DL, et al. Incidence of associated events during the performance of invasive procedures in healthy human volunteers. J Appl Physiol (1985), 2005, 98(4): 1202-1206.
38. Dreyer HC, Fujita S, Cadenas JG, et al. Resistance exercise increases AMPK activity and reduces 4E-BP1 phosphorylation and protein synthesis in human skeletal muscle. J Physiol, 2006, 576(Pt 2): 613-624.
39. Nydahl P, Sricharoenchai T, Chandra S, et al. Safety of patient mobilization and rehabilitation in the intensive care unit. Systematic review with meta-analysis. Ann Am Thorac Soc, 2017, 14(5): 766-777.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Qualitative systematic review of the safety and feasibility of early mobilization in critically ill patients with femoral catheters

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