Implementing the awakening and breathing coordination, delirium monitoring/management and early exercise/mobility bundle into everyday care

Implementing the awakening and breathing coordination, delirium monitoring/management and early exercise/mobility bundle into everyday care: Opportunities, challenges and lessons learned for implementing the ICU pain, agitation and delirium guidelines. Critical care medicine, Sept 2013, Vol. 41(9), p.S116-127.

Balas, M.C., et al.

http://journals.lww.com/ccmjournal/Abstract/2013/09001/Implementing_the_Awakening_and_Breathing.10.aspx

The awakening and breathing coordination, delirium monitoring/management, and early exercise/mobility bundle is an evidence-based interprofessional multicomponent strategy for minimizing sedative exposure, reducing duration of mechanical ventilation, and managing ICU-acquired delirium and weakness. The purpose of this study was to identify facilitators and barriers to awakening and breathing coordination, delirium monitoring/management, and early exercise/mobility bundle adoption and to evaluate the extent to which bundle implementation was effective, sustainable, and conducive to dissemination.

Exercise rehabilitation for patients with critical illness

Exercise rehabilitation for patients with critical illness: A randomized controlled trial with 12 moths of follow-up.  Critical Care, July 2013, 17: R156

Denehy, L., et al.

http://ccforum.com/content/17/4/R156/abstract

The purpose of this trial was to investigate the effectiveness of an exercise rehabilitation program commencing during ICU admission and continuing into the outpatient setting compared with usual care on physical function and health-related quality of life in ICU survivors.