Safety recommendations on laboratory and blood count values for early mobilization in critically ill adults: an expert consensus

Andrés Mauricio Enriquez Popayan, Henry Mauricio Parada-Gereda, Luis Alexander Peña-López, Longxiang Su, Milton Santillán-Zuta, Wilson Mauricio Lozano, Hongbo Luo, Daniel Lago Borges, Darío Salvador Villalba, Romina Amelia Pratto, José M. Cruz-Touzet, Susana Arias-Rivera, Carmen Ana Cerron Cabezas, · 2026

Read Safety recommendations on laboratory and blood count values for early mobilization in critically ill adults: an expert consensus by Andrés Mauricio Enriquez Popayan, Henry Mauricio Parada-Gereda, Luis Alexander Peña-López, Longxiang Su, Milton Santillán-Zuta, Wilson Mauricio Lozano, Hongbo Luo, Daniel Lago Borges, Darío Salvador Villalba, Romina Amelia Pratto, José M. Cruz-Touzet, Susana Arias-Rivera, Carmen Ana Cerron Cabezas, (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13518028.txt.

Description

Enriquez Popayan and co-authors build expert consensus on when lab values should stop early mobilization of critically ill patients. Getting ICU patients moving early fights weakness and shortens stays, yet wards improvise safety cutoffs. A modified Delphi panel of 24 senior ICU clinicians, therapists, and nurses voted through eight rounds to at least 85 percent agreement.

They settled 119 items across six domains, naming thresholds for blood counts, lactate, glucose, clotting, acidity, and potassium in varied situations. Two fresh rules stand out. Pause mobilization during blood transfusions until they finish. And treat a hemoglobin drop of two points in a day, or a platelet fall of a fifth, as stop signs even if values still look normal.

Catalog record

CREATORAndrés Mauricio Enriquez Popayan, Henry Mauricio Parada-Gereda, Luis Alexander Peña-López, Longxiang Su, Milton Santillán-Zuta, Wilson Mauricio Lozano, Hongbo Luo, Daniel Lago Borges, Darío Salvador Villalba, Romina Amelia Pratto, José M. Cruz-Touzet, Susana Arias-Rivera, Carmen Ana Cerron Cabezas,
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE33 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC13518028

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