成年患者接受体外膜氧化疗法的康复
Massimiliano Polastri1, Allaina Eden2, Justyna Swol3
1Department of Continuity of Care and Disability, Physical Medicine and Rehabilitation, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Perfusion
|April 23, 2024
概括
本综述总结了近期对患者的康复实践体外膜氧化 (ECMO). 目前的趋势强调逐步炼和早期动员,包括床外活动,以改善患者的治疗结果.
科学领域:
- 关键护理医学 关键护理医学
- 康复医学 康复医学 康复医学
- 支持心肺血管的支持.
背景情况:
- 有限的信息存在于当前的康复实践,患者在体外膜氧化 (ECMO).
- 之前的审查有过时的数据或狭窄的患者群体 (例如,清醒的ECMO,COVID-19患者).
研究的目的:
- 为ECMO患者的康复提供最新发现的简要概述.
- 突出ECMO患者康复的新兴趋势.
主要方法:
- 使用PubMed进行了文献综合性审查.
- 搜索术语包括"体外膜氧化"和"康复"和"体外膜氧化"和"理疗"直到2023年12月.
- 排除标准包括非康复技术,社论和儿科研究.
主要成果:
- 分析了13篇涉及839名成年患者 (27-63岁) 的文章.
- 康复方案在COVID-19和非COVID-19患者之间没有显著差异.
- 康复通常在48-96小时内开始,包括渐进的运动和床外活动.
结论:
- 目前的ECMO康复专注于渐进式运动方案.
- 越来越重视床外活动和早期患者动员.
- 多学科的方法是当前ECMO患者康复实践的核心.
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