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Incorporating Safe Patient-Handling Techniques to Mobilize Our Most Complex Patients on Extra Corporeal Membrane
Constance Rickelmann1, Diane J Knoblauch
1Surgical Intensive Care Unit, University of Michigan Hospital and Health Systems, Ann Arbor.
Abstract:
Historically, patients supported on extra corporeal membrane oxygenation were thought to be too unstable to engage in early mobility but are at increased risk for deconditioning from prolonged immobilization due to the nature of illness, numerous cannulas, equipment, and hemodynamic and respiratory instability along with heavy sedation/analgesia or paralysis. This article will discuss the specific considerations that should be employed to keep the patient and the staff safe while providing mobility to patients on extra corporeal membrane oxygenation.
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