https://doi.org/10.4081/scenario.2021.469
Mobilizzazione del paziente sottoposto ad Extracorporeal Membrane Oxygenation: revisione narrativa della letteratura
Ricevuto: 11 aprile 2021
Accettato: 11 aprile 2021
Pubblicato: 11 aprile 2021
Accettato: 11 aprile 2021
Abstract Views: 1043
PDF: 229
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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.
Autori
I pazienti sottoposti a Extracorporeal Membrane Oxygenation (ECMO), sia veno-venoso che veno-arterioso, sono spesso 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, acceleri il processo di svezzamento dalla ventilazione meccanica e prevenga le altre complicanze legate all'immobilità, favorendo il benessere psicologico del paziente.
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.
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Come citare
Maccarone, I., Rosati, M., & D’ambrosio, F. (2021). Mobilizzazione del paziente sottoposto ad Extracorporeal Membrane Oxygenation: revisione narrativa della letteratura. Scenario® - Il Nursing Nella Sopravvivenza, 38(1), 71–76. https://doi.org/10.4081/scenario.2021.469
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