SCCM Resource Library-Mobilizing the ECMO Patient

Video Transcription

Video Summary

Dr. Ali Tabatabai discusses the mobilization of ECMO (Extracorporeal Membrane Oxygenation) patients in order to prevent and mitigate ICU-acquired weakness. The goal is to maintain and restore function, reduce adverse events, and prepare for discharge. Rehabilitation for chronically ill ECMO patients includes increasing functional outcomes, restoring language, swallow, and retraining cognition. Delirium management is important, and occupational therapy and speech-language pathology can help assess delirium risk, aid in pain management, and engage cognition. A collaborative model is used, with nursing assisting in non-prescriptive mobility exercises and rehabilitation services providing prescriptive functional training. The mobilization program undergoes medical screening, physical therapy assessment, and initiation and progression of therapy sessions. Safety is prioritized, and a clear plan is established for sitting, standing, ambulating, and other activities based on the patient's condition and cannulation site. Studies show that early mobilization is safe and can increase functional independence. A multidisciplinary team effort and collaboration are crucial for the success of ECMO early mobilization and rehabilitation programs.

Asset Subtitle

Cardiovascular, Procedures, 2022

Asset Caption

This session will combine the most popular learning methods for extracorporeal support, combining didactic information on the most up-to-date research and clinical outcomes, case-based presentations that will be used to incorporate the didactic portion, and audience participation by Q&A with the expert faculty panel. Topics covered are: 1. New technology, what's here, why it's important, what's coming 2. Expanding populations, criteria and outcomes (extracorporeal CPR, COVID-19, transplant, cardiac) 3. What's new in anticoagulation? Maybe the answer is to do nothing! 4. How we handle the lung during venovenous extracorporeal membrane oxygenation (ECMO), the heart during venoarterial ECMO, sedation, when and how to unload the left ventricle, whether I need to change from venovenous to another mode for hypoxia (and why) This sessions will focus on adult and pediatric patients but not much on neonatal ECMO. Didactic talks will be incorporated into case-based presentations. Time for Q&A with the speakers will be a major focus.

Meta Tag

Content Type Presentation

Knowledge Area Cardiovascular

Knowledge Area Procedures

Knowledge Level Advanced

Learning Pathway Cardiothoracic Critical Care

Membership Level Select

Tag Extracorporeal Life Support

Tag Extracorporeal Membrane Oxygenation ECMO

Tag Cardiothoracic Critical Care

Year 2022

Keywords

ECMO patients

ICU-acquired weakness

rehabilitation

delirium management

early mobilization

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