Safety and feasibility of early physiotherapy applied in the intradialytic period to critically ill patients in the intensive care unit: A scoping review.

Abstract

<h4>Objective</h4>To describe the current status of safety and feasibility physiotherapy application during hemodialysis in patients during ICU stay.<h4>Methods</h4>It is a scoping review conducted from May to July 2024, developed in accordance with the PRISMA-ScR guidelines. The Concept, Population, and Context strategy and descriptors standardized by DECS and MESH in English and Portuguese were used, and they were arranged in different strategies in nine databases (MEDLINE by PUBMED, EMBASE, LILACS-BVS, PEDro, Scielo, WoS, Portal de Periódicos CAPES, and CINAHL). The studies were analyzed in terms of authorship, year of publication, design, outcomes, population, and results. The main outcome reported was describe the safety and presence of adverse events of applying physiotherapy to critically ill patients during hemodialysis session.<h4>Results</h4>A total of 122 files were identified and 02 were included after screening and selection. The results were framed into 07 themes on the particularities of early physiotherapy: the context of the physiotherapy in the ICU, Hemodialysis and vascular access to the necessary care, physiotherapy applied in the intradialytic period, the importance of interdisciplinary action, recording of adverse events, and the patient's perception.<h4>Conclusion</h4>Early physiotherapy applied during the intradialytic period in ICU patients was safe when conducted with a careful assessment of eligible patients, although transient hemodynamic changes may occur as adverse events.