Pilot Study on Device-assisted Mobilisation of Critically Ill Patients

This Pilot study will hypothesize that patients with organ insufficiency and breathing assistance in our post-anaesthesia care unit (PACU) and ICU will be mobilized more often to an ICU mobility scale (IMS) ≥ 4 (i.e. standing) using the Liana® mobilizer. Therefore a randomized controlled pilot study will be conducted. The aim is to achieve an important physical function mile stone more often using this device.Secondary hypotheses are:The intervention will relieve the burden of the health care staff in the unitThe intervention will positively influence the functional outcome of critically ill patientsThe intervention is perceived as positive by the patients

Inclusion Criteria:Intensive care patient with ventilatory support and an expected intensive care stay of at least another 48 hAge ≥ 18 yearsCurrent length of intensive care stay < 48 hExclusion Criteria:Moribund and critically illSuspected 6-month mortality > 75%.Increased intracranial pressureCritically ill after cardiopulmonary resuscitationCritically ill with primary neuromuscular disease or motor neuron diseaseOne or more amputated extremitiesPatients, within 2h after surgeryUnstable fracturesSevere traumatic brain injury (e.g., brain and skull injuries)Circulatory instability with norepinephrine > 0.3 µg/kg/minPatients for whom there is an indication for deep sedation (RASS -5)Language barrierFitting of legs into leg trays is not possible due to e.g. patient weight