THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA
Online ISSN : 1349-9149
Print ISSN : 0285-4945
ISSN-L : 0285-4945
Symposium (1)
Role of Early Rehabilitation for Perioperative Patients with Mechanical Ventilation in Intensive Care Units
Makoto HASEGAWAHiroomi YAMAGUCHIChisato USAMIHiroshi HINOHARAShigeru SAITOHNaoki WADA
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2020 Volume 40 Issue 5 Pages 504-509

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Abstract

In the postoperative period, early rehabilitation is necessary to prevent complications, maintain muscle strength(upper and lower limbs, trunk muscle strength), and enhance exercise endurance. Patients with stable general condition should get out of bed as soon as possible. Patients with mechanical ventilation also need early mobilization to prevent physical impairment due to immobilization.

Preoperative evaluation of physical function and living conditions is important to predict postoperative activity of daily living. If patient has some impairment before surgery, rehabilitation should begin preoperatively to prevent delayed mobilization. Multi-professional collaboration can promote multidisciplinary team medical care, early mobilization, and early discharge from hospital. In addition, each profession has to unify and clarify the goals and policies of treatment. The goal of postoperative rehabilitation is not only early mobilization after surgery but also return to preoperative life after discharge.

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© 2020 by The Japan Society for Clinical Anesthesia
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