Early Mobilization after Open Heart (what does this mean to you?)

[rickard]

I work in a CVICU the does approx 200 - 300 open heart procedures a year. Early mobilization means, in my unit, that a pt gets out of bed after PA catheter is removed

[RNTwin]

work in a CVICU extubation was with in 2hrs of surgery, out of bed within 2hrs of extuabation and up to chair TID for at least 1hr but we still had alot of ileus, but we did a lot ot TAAAs

[TakeBack]

Our protocol:-Almost all swans are d/c'd in the OR,

[TakeBack]

Last post failed.

Our protocol:

swans are d/c'd in the OR (>90%)

OOBTC POD#1 before night shift leaves

Dangle/stand/Chair 1-2x that day

Ambulate and OOBTCx3 each day after

NO pts have NG/OG, and no problems with ileus or significant PONV.

Unless you're giving early enteral meds, probably don't need it.

The ileus you're seeing is probably narcs.

[IHeartDukeCTICU]

Ours is similar, extubate within 3 hours if stable, wean drips and d/c PA... usually within 5-6 hours, d/c swan and up to chair. Sometimes we'll have patients who come back w/o epi or low dose epi where we can wean off pretty quick and get the swan out. If that happens we'll get them up to the chair and walk em in the ICU 100-300 ft. I heard of a few occasions on our floor where we get people to the chair w/a swan in, but I think it's usually with people who have a swan in longer than expected, or someone who gets a swan put back in and is stable. Next morning they go out to stepdown, POD 1 they are expected to walk 3x 300ft, OOB to chair 3x.

[Wile E Coyote, ASN, RN]

My speculation is probably moot by now, as the thread is > 1yr old. However, I'd recommend comparing your cross-clamp times/technique with those of other facilites and looking for correlation there.