Incorporating Safe Patient-Handling Techniques to Mobilize Our Most Complex Patients on Extra Corporeal Membrane...

Area of Science:

• Critical Care Medicine
• Cardiopulmonary Support
• Rehabilitation Science

Background:

• Extracorporeal membrane oxygenation (ECMO) patients are often deemed too unstable for early mobility.
• Prolonged immobilization increases deconditioning risk due to illness severity, equipment, and instability.
• Sedation, analgesia, or paralysis further complicates early mobilization in ECMO patients.

Purpose of the Study:

• To address the historical perception of ECMO patient immobility.
• To outline safe and effective strategies for early patient mobility on ECMO.
• To guide clinicians in managing mobility for critically ill ECMO patients.

Main Methods:

• Review of current literature and clinical practices for ECMO mobility.
• Discussion of safety considerations for patients and healthcare providers.
• Identification of key factors influencing mobility decisions in ECMO.

Main Results:

• Early mobility in ECMO patients is achievable with specific protocols.
• Careful consideration of hemodynamic, respiratory, and neurological status is essential.
• Multidisciplinary team approach is vital for successful implementation.

Conclusions:

• Early mobility for ECMO patients can prevent deconditioning.
• Implementing safe mobility protocols requires addressing patient and staff safety.
• This approach enhances recovery and reduces complications in critically ill patients.