Early Mobilization after Pediatric Liver Transplantation.

Objective  This study aims to evaluate the impact of early mobilization (EM) after pediatric liver transplantation in the pediatric intensive care unit (PICU). Design  A 14-month prospective before and after study. Setting  Multivalent PICU with 20 beds at a tertiary children's hospital. Patients  A total of 57 patients aged younger than 16 years who received liver transplantation and were admitted to the PICU after surgery. Interventions  EM project, a multifaceted framework for successful EM practice in the PICU focusing on a multidisciplinary team approach. Measurements and Main Results  Compared with the period before the implementation of the EM project, there was a significant increase in the proportion of patients who received physical therapy in the PICU (43 vs. 97%, p  < 0.001). Also, there were greater median numbers of physical therapy per eligible patient (0 vs. 3, p  < 0.001). Moreover, patients achieved higher functional mobility level within a shorter time. Length of intubation, PICU stay, and hospital stay were not significantly different. There were no adverse events or deaths. Conclusion  Using an EM project process, the proportion of patients who received physical therapy after liver transplantation increased. However, there was no difference in the length of PICU or hospital stay. Our findings indicated that EM for pediatric patients who received liver transplantation was well tolerated and safe.