REPERCUSSION OF EARLY MOBILIZATION OF PATIENTS ON INVASIVE MECHANICAL VENTILATION: AN INTEGRATIVE LITERATURE REVIEW

Abstract

Early mobilization of patients on invasive mechanical ventilation (IMV) is a therapeutic strategy that has gained prominence in clinical practice due to its benefits in the intensive care stage. This study, based on an integrative literature review, analyzes the impacts of early mobilization, addressing its physiological effects, challenges, and scientific evidence that supports its application. Patients undergoing IMV often present complications such as ICU-acquired muscle weakness, decreased functional capacity, and increased length of hospital stay. Based on this information, this work is developed in the form of a literature review, with the objective of gathering, analyzing, and synthesizing the information available in the scientific literature on the subject, providing a solid basis for reflections and discussions about clinical practice and its developments. Early mobilization emerges as an effective intervention to mitigate these complications, promoting the preservation of muscle strength, improving spontaneous ventilation, and reducing dependence on mechanical ventilation. In addition, studies indicate that this practice contributes to reducing the length of ICU stay, hospital costs, and the consequences of complications associated with prolonged immobility. However, the implementation of early mobilization faces challenges such as the need for a trained multidisciplinary team, well-defined protocols, and monitoring specifically to ensure patient safety. In addition, factors such as excessive sedation, hemodynamic instability, and specific clinical conditions can limit the predictions of the intervention. The results of the review reinforce that early mobilization is a safe and effective practice, as long o it is performed individually and in accordance with the patient's clinical conditions. The research highlights the need for further studies that explore the protocols and their long-term benefits, expanding their adoption and standardization in the intensive care setting. In summary, early mobilization is a promising strategy for the recovery of critically ill patients, with the potential to transform clinical management in ICUs.