JHONATAN DUARTE

Autónoma de Querétaro University, México

Title: Early mobilization in continuous renal replacement therapy: Does the risk outweigh the benefits?

Abstract

Early mobilization (EM) of the critically ill patient admitted to the ICU has shown great benefits in increasingly heterogeneous populations, however, patients who are linked to extracorporeal devices such as continuous renal replacement therapy (CRRT) are often confined to prolonged periods of bed immobilization due to the staff’s perception of possible adverse events related to the patient (desaturation, hemodynamic instability, falls, etc.) or to the catheter (disinsertion, bleeding, embolism, etc.) during the physical therapy session. However, current evidence shows that, in general, this is an unfounded fear since, if there is a EM protocol adapted to the specific needs of patients linked to CRRT and this is accompanied by a qualified and coordinated multidisciplinary team, the patient could perform activities in bed, sitting, standing and even walking without interrupting CRRT, and even then, the risk of adverse events is almost nil, which would allow us to continue to prioritize the patient’s life, while allowing them to exercise their right to live life with dignity through bodily movement.

Biography

Duarte is professor of Cardiopulmonary Physiotherapy and Critical Care at the Universidad Autónoma de Querétaro. He is a national lecturer and professor of Diplomas related to critically ill patients. From a clinical perspective, he is attached to the ICU and Internal Medicine service of the General Hospital of Queretaro and practices in the private sector as a consultant in various hospitals and clinics in the metropolitan area. Prof. Duarte graduated in Physiotherapy from the Universidad Autónoma de Querétaro (Mexico), obtained his specialist degree in Public Health from the same university and completed training in Intensive Physiotherapy at an academy based in Brazil. In particular, prior to his undergraduate training he completed a technical career in pre-hospital medical care by the Mexican Red Cross. He currently directs the Intensive Physical Therapy academy of the Queretano Physical Therapy Association.

4th World Congress on Primary Healthcare and Medicare Summit

JHONATAN DUARTE

Title: Early mobilization in continuous renal replacement therapy: Does the risk outweigh the benefits?

Abstract

Biography

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