<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1870-7203</journal-id>
<journal-title><![CDATA[Acta médica Grupo Ángeles]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. Grupo Ángeles]]></abbrev-journal-title>
<issn>1870-7203</issn>
<publisher>
<publisher-name><![CDATA[Grupo Ángeles, Servicios de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-72032022000300255</article-id>
<article-id pub-id-type="doi">10.35366/105729</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Movilización precoz del paciente en Cuidados Intensivos]]></article-title>
<article-title xml:lang="en"><![CDATA[Early mobilization of the Intensive Care patient]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jarrín Anchundia]]></surname>
<given-names><![CDATA[Pablo Stalyn]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General del Norte de Guayaquil IESS  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Ecuador</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<volume>20</volume>
<numero>3</numero>
<fpage>255</fpage>
<lpage>257</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-72032022000300255&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-72032022000300255&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-72032022000300255&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La fisioterapia en los servicios de medicina crítica es parte del protocolo de atención establecido para los pacientes que permanecen largos periodos de inmovilización hospitalaria. En los últimos años tanto médicos intensivistas como instituciones médicas han coincidido en la importancia de la movilización precoz del paciente crítico. El objetivo del profesional en terapia física es movilizar a todo paciente que tenga las condiciones de estabilidad hemodinámicas, aplicando diversos ejercicios progresivos, técnicas que utilizarán dependiendo de los criterios de inclusión y exclusión en los que se encuentre el paciente día tras día. Esto ocasiona que el fisioterapeuta esté pendiente de los cambios clínicos que muestren los pacientes, razón por la cual es deber del fisioterapeuta estar presente durante los pases de visita de los médicos. Al permitirse dar educación de los ejercicios a los familiares del paciente crítico, la fisioterapia actúa también como un aliado en la humanización de la UCI.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ Abstract: Physiotherapy in critical medical services is part of the care protocol established for patients who remain in the hospital for long periods of immobilization, in recent years both intensivist physicians and medical institutions have agreed on the importance of early mobilization of the critical patient. The objective of the professional in physical therapy is to mobilize all patients who have hemodynamic stability conditions, applying various progressive exercises, techniques that they will use depending on the inclusion and exclusion criteria in which the patient is found day after day, this causes that the physiotherapist is aware of the clinical changes that patients, which is why it is the duty of the physiotherapist to be present during medical visits, by allowing himself to give education of the exercises to the relatives of the critical patient, physiotherapy also acts as an ally in the humanization of the ICU.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Movilización temprana del paciente crítico]]></kwd>
<kwd lng="es"><![CDATA[organización y cultura de la fisioterapia]]></kwd>
<kwd lng="es"><![CDATA[fisioterapia en Unidades de Cuidados Intensivos]]></kwd>
<kwd lng="en"><![CDATA[Early mobilization of the critical patient]]></kwd>
<kwd lng="en"><![CDATA[organization and culture of physiotherapy]]></kwd>
<kwd lng="en"><![CDATA[physiotherapy in Intensive Care Units]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martínez Camacho]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Jones Baro]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
<name>
<surname><![CDATA[Gómez González]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[El fisioterapeuta en la Unidad de Cuidados Intensivos ¿un profesional necesario?]]></article-title>
<source><![CDATA[Acta Med Grupo Angeles]]></source>
<year>2020</year>
<volume>18</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>104-5</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cameron]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Ball]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Cepinskas]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Choong]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Doherty]]></surname>
<given-names><![CDATA[TJ]]></given-names>
</name>
<name>
<surname><![CDATA[Ellis]]></surname>
<given-names><![CDATA[CG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Early mobilization in the critical care unit: A review of adult and pediatric literature]]></article-title>
<source><![CDATA[J Crit Care]]></source>
<year>2015</year>
<volume>30</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>664-72</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="book">
<collab>Instituto Nacional de Estadísticas y Censos</collab>
<source><![CDATA[Camas y egresos hospitalarios]]></source>
<year>2021</year>
<publisher-name><![CDATA[Ecuador]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vilana Goma]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Conceptualización del rol del fisioterapeuta en la unidad de cuidados intensivos]]></source>
<year>2019</year>
<publisher-name><![CDATA[Universitat de Barcelona]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cardona Pérez]]></surname>
<given-names><![CDATA[EM]]></given-names>
</name>
<name>
<surname><![CDATA[González Quintero]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Padilla Chivata]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Páez Rincón]]></surname>
<given-names><![CDATA[SI]]></given-names>
</name>
<name>
<surname><![CDATA[Alejo]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez Roja]]></surname>
<given-names><![CDATA[YL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Alteraciones asociadas al desacondicionamiento físico del paciente crítico en la Unidad de Cuidado Intensivo. Revisión sistemática]]></article-title>
<source><![CDATA[Mov cient]]></source>
<year>2014</year>
<volume>8</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>131-42</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wilches-Lunaa]]></surname>
<given-names><![CDATA[EC]]></given-names>
</name>
<name>
<surname><![CDATA[Muloz Arcos]]></surname>
<given-names><![CDATA[VE]]></given-names>
</name>
<name>
<surname><![CDATA[Girón]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Ortega]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Arias]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Pelaez]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Implementación de un programa de movilización temprana en pacientes críticos]]></article-title>
<source><![CDATA[Acta Colomb Cuid Intensivo]]></source>
<year>2015</year>
<volume>15</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>287-92</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martínez]]></surname>
<given-names><![CDATA[CMÁ]]></given-names>
</name>
<name>
<surname><![CDATA[Jones]]></surname>
<given-names><![CDATA[BRA]]></given-names>
</name>
<name>
<surname><![CDATA[Gómez]]></surname>
<given-names><![CDATA[GA]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez]]></surname>
<given-names><![CDATA[NOR]]></given-names>
</name>
<name>
<surname><![CDATA[Guerrero]]></surname>
<given-names><![CDATA[GMA]]></given-names>
</name>
<name>
<surname><![CDATA[Zamarrón]]></surname>
<given-names><![CDATA[LEI]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Movilización temprana en la Unidad de Cuidados Intensivos]]></article-title>
<source><![CDATA[Med Crit]]></source>
<year>2021</year>
<volume>35</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>89-95</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[García García]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Piqueras Díaz]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Ortiz Navarro]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Martinez Márquez]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Carrilero López]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Torralba Melero]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Movilización precoz del paciente crítico]]></article-title>
<source><![CDATA[SESCAM]]></source>
<year>2018</year>
<page-range>1-23</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Filippo Souza]]></surname>
<given-names><![CDATA[GD]]></given-names>
</name>
<name>
<surname><![CDATA[dos Santos Albergaria]]></surname>
<given-names><![CDATA[TF]]></given-names>
</name>
<name>
<surname><![CDATA[das Virgens Bomfim]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Magalhaes Duarte]]></surname>
<given-names><![CDATA[AC]]></given-names>
</name>
<name>
<surname><![CDATA[Fraga]]></surname>
<given-names><![CDATA[HM]]></given-names>
</name>
<name>
<surname><![CDATA[Prata Martinez]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Eventos adversos do ortostatismo passivo em pacientes críticos numa unidade de terapia intensiva]]></article-title>
<source><![CDATA[ASSOBRAFIR Ciencia]]></source>
<year>2014</year>
<volume>5</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>25-33</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gómez Cruz]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Caneiro González]]></surname>
<given-names><![CDATA[LT]]></given-names>
</name>
<name>
<surname><![CDATA[Amarante]]></surname>
<given-names><![CDATA[RP]]></given-names>
</name>
<name>
<surname><![CDATA[Madrigal Torres]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Guía de práctica clínica para la rehabilitación del paciente en estado crítico]]></article-title>
<source><![CDATA[Medisur]]></source>
<year>2009</year>
<volume>7</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-11</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Thomas]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Baldwin]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Bissett]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Boden]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Gosselink]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Granger]]></surname>
<given-names><![CDATA[CL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Physiotherapy management for COVID-19 in the acute hospital setting: clinical practice recommendations]]></article-title>
<source><![CDATA[J Physiother]]></source>
<year>2020</year>
<volume>66</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>73-82</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
