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Author Spotlight: Advancements and Challenges in Machine Perfusion for Liver Transplantation
Published on: June 14, 2024
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Early Mobilization after Pediatric Liver Transplantation
Norihiko Tsuboi1, Hitomi Nozaki2, Yukihiro Ishida2
1Department of Critical Care Medicine, National Center for Child Health and Development, Okura, Setagaya-ku, Tokyo, Japan.
Journal of Pediatric Intensive Care
|May 11, 2019
Summary
Early mobilization (EM) significantly increased physical therapy for pediatric liver transplant patients in the PICU. While safe and well-tolerated, EM did not reduce length of stay, highlighting its benefits for functional recovery.
Area of Science:
- Pediatric critical care medicine
- Transplant surgery
- Rehabilitation therapy
Background:
- Pediatric liver transplantation requires intensive post-operative care in the pediatric intensive care unit (PICU).
- Early mobilization (EM) is crucial for recovery but its implementation post-transplant can be challenging.
Observation:
- A multifaceted EM project was implemented in a tertiary children's hospital PICU.
- The project focused on a multidisciplinary team approach to facilitate EM for pediatric liver transplant recipients.
Findings:
- Physical therapy utilization increased from 43% to 97% post-intervention (p < 0.001).
- Eligible patients received more physical therapy sessions (median 0 vs. 3, p < 0.001).
- Patients achieved higher functional mobility faster, with no significant changes in intubation or length of stay.
Implications:
- Implementing an EM project significantly enhances physical therapy access for pediatric liver transplant patients.
- Early mobilization is safe and well-tolerated in this population, improving functional outcomes.
- Further research may explore optimizing EM protocols to potentially impact length of stay.
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