Table 3.
Cessation criteria for early mobilization and rehabilitation
Category | Items and index | Criteria for determination | Remarks |
---|---|---|---|
Cessation was determined depending on the patient’s condition or request to discontinue or resume. | |||
Nervous system | • Reaction • Facial expression • Consciousness • Agitation • Voluntary movement of the extremities • Postural adjustment |
• Appearance of a clear bad reaction condition • Appearance of agonizing expressions, facial paleness, and cyanosis • Emergence of mild or more consciousness disorders • Emergence of dangerous behavior • Emergence of limb weakness • Rapid increase in the amount of assistance • Emergence of unretained posture • Fall |
• A state of drowsiness and chaos against a call |
Subjective symptoms | • Dyspnea • Fatigue |
• Complaint of sudden dyspnea • Labored respiration • Unbearable fatigue • If the patient wants to stop • Complaint of pain |
• Pneumothorax • Pulmonary thromboembolism • Modified Borg scale score of 5-8 |
Respiratory system | • Respiratory rate • SpO2 • Breathing pattern • Mechanical ventilator |
• 5 breaths/min or >40 breaths/min • <88% • Sudden breathing effort • Unsynchronization • Backing |
• Except for evanescent increase • Evaluation of airway obstruction by auscultation |
Cardiovascular system | • Heart rate • Electrocardiography • Blood pressure |
• Decreased heart rate and bradycardia • 40/min or >130/min • New arrhythmia • Suspected myocardial ischemia • Systolic blood pressure > 180 mmHg • 20% decrease in systolic or diastolic blood pressure • Average arterial pressure < 65 mmHg • Or >110 mmHg |
• Except for evanescent increase |
Device | • Artificial airway • Nasogastric tube • Central venous catheter • Chest drain • Wound drain • Bladder catheter |
• Risk of removal (or removal) | |
Other | • If the patient refuses • If the patient asks for cessation • Suspected active bleeding • Surgical wound condition |
• Properties of drainage • Risk of wound separation |