https://doi.org/10.4081/scenario.2021.469
Patient mobilisation undergoing Extracorporeal Membrane Oxygenation: a narrative review of the literature
Submitted: 11 April 2021
Accepted: 11 April 2021
Published: 11 April 2021
Accepted: 11 April 2021
Abstract Views: 1132
PDF (Italiano): 336
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Patients undergoing Extracorporeal Membrane Oxygenation (ECMO), whether veno-venous or veno-arterial, are often sedated and kept in a state of immobility due to the clinical instability, especially from a haemodynamic point of view, and the risk of decannulation that their movement may cause. However, studies on early mobilisation in other categories of critically ill patients show how this practice favours the recovery of maximum patient autonomy, respiratory and motor function, accelerates the weaning process from mechanical ventilation, and prevents other complications linked to immobility, thus promoting the patient's psychological well-being.
Needham DM. Mobilizing patients in the intensive care unit: improving neuromuscular weakness and physical function. JAMA 2008;300:1685–1690
Herridge MS, Tansey CM, Matté A, et al. Functional disability 5 years after acute respiratory distress syndrome. N Engl J Med 2011;364:1293–1304
Gosselink R, Needham D, Hermans G. ICU-based rehabilitation and its appropriate metrics. Curr Opin Crit Care 2012;18:533–539
Schweickert WD, Pohlman MC, Pohlman AS, et al. Early physical and occupational therapy in mechanically ventilated, critically ill patients: a randomised controlled trial. Lancet 2009;373:1874–1882
Burtin C, Clerckx B, Robbeets C, et al. Early exercise in critically ill patients enhances short-term functional recovery. Crit Care Med 2009;37:2499–2505
Vannini C. Mobilizzazione del paziente critico. Nurse24.it 2019 [pubblicato: 25919; aggiornato:30919]; https://www.nurse24.it/specializzazioni/emergenza-urgenza/mobilizzazione-del-paziente-critico.html [circa 6 schermate]. Data ultima consultazione: ottobre 2019
Mossadegh C., Combes A. Nursing Care and ECMO. Springer; 2017. Monitoring the ECMO. pag 45-68
Hadaya J, Benharash P. Extracorporeal Membrane Oxygenation. JAMA. 2020;323(24):2536. doi:10.1001/jama.2020.9148
Moher D, Liberati A, Tetzlaff J, et al. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. J Clin Epidemiol. 2009 Oct; 62
Marhong JD, DeBacker J, Viau-Lapointe J, et al. Sedation and Mobilization During Venovenous Extracorporeal Membrane Oxygenation for Acute Respiratory Failure: An International Survey. Crit Care Med. 2017 Nov; 45 (11): 1893-1899.
Rickelmann C, Knoblauch DJ. Incorporating Safe Patient-Handling Techniques to Mobilize Our Most Complex Patients on ExtraCorporeal Membrane Oxygenation. Crit Care Nurs Q. 2018 Jul/Sep;41(3):272-281. doi: 10.1097/CNQ.0000000000000206.
Abrams D, Javidfar J, Farrand E, et al. Early mobilization of patients receiving extracorporeal membrane oxygenation: a retrospective cohort study. Crit Care. 2014 Feb 27;18(1): R38. doi: 10.1186/cc13746.
Boling B, Dennis DR, Tribble TA, et al. Safety of Nurse-Led Ambulation for Patients on Venovenous Extracorporeal Membrane Oxygenation. Prog Transplant. 2016 Jun;26(2):112-6. doi:10.1177/1526924816640646.
Chavez J, Bortolotto SJ, Paulson M, et al. Promotion of progressive mobility activities with ventricular assist and extracorporeal membrane oxygenation devices in a cardiothoracic intensive care unit. Dimens Crit Care Nurs. 2015 Nov-Dec;34(6):348-55. doi: 10.1097/DCC.0000000000000141.
Liu K, Ogura T, Takahashi K, et al. The safety of a novel early mobilization protocol conducted by ICU physicians: a prospective observational study. J Intensive Care. 2018 Feb 20;6:10. doi:10.1186/s40560-018-0281-0.
Hodgson CL, Berney S, Harrold M, et al. Clinical review: early patient mobilization in the ICU. Crit Care. 2013 Feb 28;17(1):207. doi: 10.1186/cc11820.
Vanhorebeek I, Latronico N, Van den Berghe G. ICU-acquired weakness. Intensive Care Med. 2020 Apr;46(4):637-653. doi: 10.1007/s00134-020-05944-4.
Combes A, Leprince P, Luyt CE, et al. Outcomes and long-term quality-of-life of patients supported by extracorporeal membrane oxygenation for refractory cardiogenic shock. Crit Care Med. 2008;36(5):1404-11
Van Aswegen H, Myezwa H. Exercise overcomes muscle weakness following on trauma and critical illness. J Physiother. 2008;64(2):36-42
Polastri M, Loforte A, Dell'Amore A, et al. Physiotherapy for Patients on Awake Extracorporeal Membrane Oxygenation: A Systematic Review. Physiother Res Int. 2016 Dec;21(4):203-209. doi: 10.1002/pri.1644.
Ferreira DDC, Marcolino MAZ, Macagnan FE, et al. Safety and potential benefits of physical therapy in adult patients on extracorporeal membrane oxygenation support: a systematic review. Rev Bras Ter Intensiva. 2019 May 13;31(2):227-239. doi: 10.5935/0103-507X.20190017.
Hayes K, Holland AE, Pellegrino VA, et al. Early rehabilitation during extracorporeal membrane oxygenation has minimal impact on physiological parameters: A pilot randomised controlled trial. Aust Crit Care. 2020 Oct 7:S1036-7314(20)30259-9. doi: 10.1016/j.aucc.2020.07.008.
Supporting Agencies
How to Cite
Maccarone, I., Rosati, M., & D’ambrosio, F. (2021). Patient mobilisation undergoing <i>Extracorporeal Membrane Oxygenation</i>: a narrative review of the literature. Scenario® - Il Nursing Nella Sopravvivenza, 38(1), 71–76. https://doi.org/10.4081/scenario.2021.469
Copyright (c) 2021 Scenario
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Aniarti has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.