Early Mobilization and the Elastic Band, an Efficient Solution for an Intubated Subject: A Case Study

Abstract

ABSTRACT. Introduction: In severely ill patients, weakness acquired in the intensive care unit is a frequent consequence. The advantages of early mobilization for adult intensive care unit patients include shorter stays in the intensive care unit and hospitals, a shorter need for mechanical ventilation, fewer days of harmful bedrest, fewer negative or dangerous occurrences, and increased walking distance. Early mobilization and rehabilitation programs using elastic bands for patients with severe illnesses in intensive care units enhance the weaning success and shorten ventilation times while also enhancing arm muscular power. Objective: This study case aimed to present the fact that early mobilization and elastic band exercises were efficient solutions for an intubated subject from the intensive care unit. Methods: A mechanically ventilated subject postoperatively for hiatal hernia and suspected phrenic nerve paresis, benefited from early mobilization and elastic band exercises and was assessed for the state of consciousness with the Richmond Agitation Scale, and muscle strength for the upper limb with the EH101 digital dynamometer. Results: Muscle strength at the level of the upper limbs increased from weak to normal and the subject was successfully extubated. Conclusions: In this case study we consider that early mobilization and the elastic band exercises program were effective, safe, inexpensive, and suitable for an intensive care unit, and it was the right solution for the success of weaning from the ventilator.