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. 2020 Jul 29;5:20200016. doi: 10.2490/prm.20200016

Table 3.  The Cancellation Criteria for Early Mobilization and Active Exercise in the Early Phase in the ICU proposed by the expert consensus of the Japanese Society of Intensive Care Medicine14).

Category Elements index Value of decision criteria or condition Remarks
General
Nervous
system
Reaction
Expression
Consciousness
Agitation
Voluntary movement of extremities
Posture adjustment
Occurrence of obvious poor reactions
Agony expression, the occurrence of
pallor or cyanosis
The occurrence of mild or more impaired consciousness
The occurrence of dangerous behavior
The occurrence of limb weakness
Rapid increase in assistance
Posture cannot be held, fall
Drowsiness, stupor in response to call
Subjective symptoms Dyspnea
Fatigue
Complaint of sudden dyspnea
Appearance of forced breathing
Unbearable fatigue
Patient wants to stop
Pneumothorax, PTE
Modified Borg scale 5–8
Respiratory system Respiratory rate
SpO2
Respiration pattern
Ventilator
<5 per min or >40 per min
<88%
Appearance of sudden expiratory or
inspiratory effort breathing
Desynchronization, bucking
Except for transient symptoms
assess with the findings of
airway obstruction, for example by auscultation
Circulatory system Heart rate
Electrocardiograms
Blood pressure
Decreased heart rate or bradycardia after starting exercise
<40 bpm or >130 bpm
New rhythm disorders
Suspected myocardial ischemia
Systolic blood pressure <65 mmHg or >180 mmHg
20% decrease of systolic or diastolic blood pressure
Mean atrial pressure >110 mmHg
Except for transient symptoms
Devices Artificial airway
Nasogastric tube, central venous catheter
Chest drain, wound drain, bladder catheter
Risks or occurrences of accidental removal
Others Patient refusal
Action for suspension
Suggestion of active
bleeding
Surgical wound condition
Appearance of drain waste
Risk of wound opening