Supervised Immediate Postoperative Mobilization After Elective Colorectal Surgery: A Feasibility Study

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W. Thörn, Rose-Marie,1964-Department of Physiotherapy, Örebro University Hospital, Örebro, Sweden (author)

Supervised Immediate Postoperative Mobilization After Elective Colorectal Surgery : A Feasibility Study

Article/chapterEnglish2022

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2021-10-19
Springer,2022
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LIBRIS-ID:oai:DiVA.org:oru-95107
https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-95107URI
https://doi.org/10.1007/s00268-021-06347-2DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:147874468URI

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Language:English
Summary in:English

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Subject category:art swepub-publicationtype

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Funding Agencies:Örebro UniversityResearch Committee of Örebro County Council and Örebro University Hospital Research Foundation, Sweden
BACKGROUND: Early mobilization is a significant part of the ERAS® Society guidelines, in which patients are recommended to spend 2 h out of bed on the day of surgery. However, it is not yet known how early patients can safely be mobilized after completion of colorectal surgery. The aim of this study was to evaluate the feasibility, and safety of providing almost immediate structured supervised mobilization starting 30 min post-surgery at the postoperative anesthesia care unit (PACU), and to describe reactions to this approach.METHODS: This feasibility study includes 42 patients aged ≥18 years who received elective colorectal surgery at Örebro University Hospital. They underwent a structured mobilization performed by a specialized physiotherapist using a modified Surgical ICU Optimal Mobilization Score (SOMS). SOMS determines the level of mobilization at four levels from no activity to ambulating. Mobilization was considered successful at SOMS ≥ 2, corresponding to sitting on the edge of the bed as a proxy of sitting in a chair due to lack of space.RESULTS: In all, 71% (n = 30) of the patients reached their highest level of mobilization between the second and third hour of arrival in the PACU. Before discharge to the ward, 43% (n = 18) could stand at the edge of the bed and 38% (n = 16) could ambulate. Symptoms that delayed advancement of mobilization were pain, somnolence, hypotension, nausea, and patient refusal. No serious adverse events occurred.CONCLUSIONS: Supervised mobilization is feasible and can safely be initiated in the immediate postoperative care after colorectal surgery. Trial registration Clinical trials.gov identifier: NTC03357497.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kirurgi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Surgery hsv//eng

Added entries (persons, corporate bodies, meetings, titles ...)

Stepniewski, JanDepartment of Anesthesiology and Intensive Care, Örebro University Hospital, Örebro, Sweden (author)
Hjelmqvist, Hans,1958-Karolinska Institutet,Örebro universitet,Institutionen för medicinska vetenskaper,Department of Anesthesiology and Intensive Care(Swepub:oru)hsht (author)
Forsberg, Anette,1965-Department of Physiotherapy, Örebro University Hospital, Örebro, Sweden(Swepub:oru)aefg (author)
Ahlstrand, Rebecca,1973-Örebro universitet,Institutionen för hälsovetenskaper,Department of Anesthesiology and Intensive Care(Swepub:oru)raad (author)
Ljungqvist, Olle,1954-Örebro universitet,Institutionen för medicinska vetenskaper,Department of Surgery(Swepub:oru)olt (author)
Department of Physiotherapy, Örebro University Hospital, Örebro, SwedenDepartment of Anesthesiology and Intensive Care, Örebro University Hospital, Örebro, Sweden (creator_code:org_t)

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In:World Journal of Surgery: Springer46:1, s. 34-420364-23131432-2323

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