在静脉外体膜氧化患者的早期动员:一个范围审查
Vasiliki Kanellou1, Konstantinos Kaliarntas2,3, Despoina Myrto Dounavi4,5
1Department of Physiotherapy, General Hospital of Nikea, Nikea 18450, Attikí, Greece.
World journal of cardiology
|September 15, 2025
概括
对静脉动脉外体膜氧化 (VA-ECMO) 患者的早期动员和物理治疗 (PT) 似乎是安全和有益的. 这种方法可能会减少对某些药物的需求并加速恢复,尽管需要更多高质量的研究.
科学领域:
- 关键护理医学 关键护理医学
- 心肺支 提供心肺支
- 康复科学 康复科学 康复科学
背景情况:
- 身体外膜氧化 (ECMO) 支持患有严重心肺衰竭,对传统治疗无反应的患者.
- 静脉动脉ECMO (VA-ECMO) 患者通常被认为是物理治疗 (PT) 和动员的高风险患者.
- 新出现的证据表明,在特定条件下,早期动员对于重症患者来说是可行的和安全的.
研究的目的:
- 系统地审查和总结有关早期动员和物理治疗对接受VA-ECMO的患者影响的现有证据.
主要方法:
- 通过对多个数据库进行系统的文献搜索,直到2025年1月进行了范围审查.
- 包括的研究集中在VA-ECMO患者进行早期动员或PT,使用初级证据设计.
- 排除了涉及儿童,动物,其他ECMO类型,二次证据或灰色文献的研究.
主要成果:
- 包括13项研究,包括RCT,回顾性研究,队列研究,病例系列和病例报告.
- 患者样本大小从1到104名VA-ECMO患者,动员频率从每天两次到每周四次不等.
- 动员被发现是安全的,不管管的位置,并与改进的机械通风断奶,减少异能剂的使用,并加强功能能力后ECMO.
结论:
- 早期动员和VA-ECMO患者的PT似乎是安全的,可能有助于减少血管收缩剂的需求和加速康复.
- 高质量的研究对于进一步验证VA-ECMO患者的益处和优化早期动员方案至关重要.
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