Mobilizzazione del paziente sottoposto ad ECMO (Extracorporeal Membrane Oxygenation): Revisione narrativa della letteratura

Ilaria Maccarone, Moris Rosati, Francesco D'ambrosio

Abstract

I pazienti sottoposti a Extracorporeal Membrane Oxygenation (ECMO), sia veno-venoso che veno-arterioso, sono spes- so sedati e mantenuti in stato di immobilità a causa dell’instabilità clinica, specialmente dal punto di vista emodinamico, e del rischio di decannulazione che la loro movimentazione potrebbe determinare. Tuttavia, studi sulla mobilizzazione precoce in altre categorie di pazienti critici evidenziano come questa pratica favorisca il recupero della massima autonomia del paziente, della funzione respiratoria e motoria, ac- celeri il processo di svezzamento dalla ventilazione meccanica e prevenga le altre complicanze legate all’immobilità, favorendo il benessere psicologico del paziente.

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