Early mobilization is only carried out to a limited extent in the intensive care unit. To address this issue, the robotic assistance system VEMOTION® was developed to facilitate (early) mobilization measures more easily. This paper describes the first integration of robotic assistance systems in acute clinical intensive care units. Feasibility test of robotic assistance in early mobilization of intensive care patients in routine clinical practice. Two intensive care units guided by anesthesiology at a German university hospital. Patients who underwent elective surgery with postoperative treatment in the intensive care unit and had an estimated ventilation time over 48 h. Participants underwent robot-assisted mobilization, scheduled for twenty-minute sessions twice a day, ten times or one week, conducted by nursing staff under actual operational conditions on the units. No randomization or blinding took place. We assessed data regarding feasible cutoff points (in brackets): the possibility of enrollment (x ≥ 50 %), duration (pre- and post-setup (x ≤ 25 min), therapy duration (x = 20 min), and intervention-related parameters (number of mobilizing professionals (x ≤ 2), intensity of training, events that led to adverse events, errors or discontinuation). Mobilizing professionals rated each mobilization regarding their physical stress (x ≤ 3) and feasibility (x ≥ 4) on a 7 Point Likert Scale. An estimated sample size of at least twenty patients was calculated. We analyzed the data descriptively. Within 6 months, we screened thirty-two patients for enrollment. 23 patients were included in the study and 16 underwent mobilization using robotic assistance, 7 dropped out (enrollment eligibility = 69 %). On average, 1.9 nurses were involved per therapy unit. Participants received 5.6 robot-assisted mobilizations in mean. Pre- and post-setup had a mean duration of 18 min, therapy a mean of 21 min. The robot-assisted mobilization was started after a median of 18 h after admission to the intensive care unit. We documented two adverse events (pain), twelve errors in handling, and seven unexpected events that led to interruptions or discontinuation. No serious adverse events occurred. The mobilizing nurses rated their physical stress as low (mean 2.0 ± 1.3) and the intervention as feasible (mean 5.3 ± 1.6). Robot-assisted mobilization was feasible, but specific safety measures should be implemented to prevent errors. Robotic-assisted mobilization requires process adjustments and consideration of unit staffing levels, as the intervention does not save staff resources or time. TRN: ; Date: 2021/10/08; URL . Robot-assisted early mobilization in intensive care patients is feasible and no adverse event occurred.

中文翻译：

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机器人辅助重症监护病房患者的早期活动：可行性和首次临床使用

早期活动仅在重症监护病房进行有限程度。为了解决这个问题，开发了机器人辅助系统 VEMOTION®，以更轻松地促进（早期）动员措施。本文描述了机器人辅助系统在急性临床重症监护病房中的首次集成。机器人辅助在常规临床实践中早期动员重症监护患者的可行性测试。德国大学医院的两个由麻醉科指导的重症监护室。接受择期手术并在重症监护病房接受术后治疗且预计通气时间超过 48 小时的患者。参与者接受机器人辅助动员，安排每天两次、十次或一周每次二十分钟的活动，由护理人员在病房的实际操作条件下进行。没有发生随机化或盲法。我们评估了有关可行截止点的数据（括号内）：入组可能性（x ≥ 50 %）、持续时间（设置前和设置后（x ≤ 25 分钟）、治疗持续时间（x = 20 分钟）和干预-相关参数（动员专业人员的数量 (x ≤ 2)、训练强度、导致不良事件、错误或中止的事件）。动员专业人员根据身体压力 (x ≤ 3) 和可行性 (x ≥ 4) 对每次动员进行评级7 点李克特量表。计算了至少 20 名患者的估计样本量。我们对数据进行了描述性分析。在 6 个月内，我们筛选了 32 名患者进行入组。23 名患者被纳入研究，其中 16 名患者接受了动员机器人辅助，7 人退出（入组资格 = 69 %）。平均每个治疗单元有 1.9 名护士参与。参与者平均接受 5.6 次机器人辅助动员。设置前和设置后的平均持续时间为 18 分钟，治疗平均 21 分钟。机器人辅助活动在进入重症监护室后平均 18 小时后开始。我们记录了两起不良事件（疼痛）、十二起处理错误以及七起导致中断或中止的意外事件。没有发生严重不良事件。动员护士认为他们的身体压力较低（平均 2.0 ± 1.3），干预措施可行（平均 5.3 ± 1.6）。机器人辅助移动是可行的，但应采取具体的安全措施以防止错误。机器人辅助动员需要流程调整并考虑单位人员配备水平，因为干预不会节省人力资源或时间。总编号：; 日期：2021年10月8日；网址。机器人辅助重症监护患者的早期活动是可行的，并且没有发生不良事件。