Inclusion | • Adults, ≥ 18 years of age • Mechanically ventilated (MV) for ≥ 48 h with no immediate plans to extubate in the next 24 h |
Exclusion | • Patients who have a contraindication to enteral feeding • Limit of medical treatment order in place or imminent death • Pre-morbid disability causing inability to ambulate > 10 m independently (+/− gait aid) • Pregnancy • The treating clinician considers the intervention not in the patients best interest or too burdensome |