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The Early Mobilization of Patients on Extracorporeal Membrane Oxygenation: A Systematic Review

Patients on extracorporeal membrane oxygenation (ECMO) often require prolonged periods of bed rest owing to the severity of their illness. Care is also required to maintain the position and integrity of the ECMO cannula. However, they experience a range of effects due to prolonged bed rest. This sys...

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Autores principales: Chatziefstratiou, Anastasia A., Fotos, Nikolaos V., Giakoumidakis, Konstantinos, Brokalaki, Hero
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10204448/
https://www.ncbi.nlm.nih.gov/pubmed/37218947
http://dx.doi.org/10.3390/nursrep13020066
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author Chatziefstratiou, Anastasia A.
Fotos, Nikolaos V.
Giakoumidakis, Konstantinos
Brokalaki, Hero
author_facet Chatziefstratiou, Anastasia A.
Fotos, Nikolaos V.
Giakoumidakis, Konstantinos
Brokalaki, Hero
author_sort Chatziefstratiou, Anastasia A.
collection PubMed
description Patients on extracorporeal membrane oxygenation (ECMO) often require prolonged periods of bed rest owing to the severity of their illness. Care is also required to maintain the position and integrity of the ECMO cannula. However, they experience a range of effects due to prolonged bed rest. This systematic review examined the possible effects of the early mobilization in patients on ECMO. The database PUBMED was searched by using appropriate keywords: “rehabilitation”, “mobilization”, “ECMO” and “extracorporeal membrane oxygenation”. The selection criteria for the article search were the following: (a) studies published in the last five years, (b) descriptive studies, (c) randomized studies, (d) published in the English language and (e) studies in adults. A total of 259 studies were found, 8 of which were finally selected. Most of the studies showed that early intensive physical rehabilitation related to a decrease in in-hospital stay and a reduction in the duration of mechanical ventilation and doses of vasopressors. In addition, improvements in the functional status and rate of mortality were observed along with a reduction in health care costs. Exercise training should be a fundamental part of the management of patients on ECMO.
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spelling pubmed-102044482023-05-24 The Early Mobilization of Patients on Extracorporeal Membrane Oxygenation: A Systematic Review Chatziefstratiou, Anastasia A. Fotos, Nikolaos V. Giakoumidakis, Konstantinos Brokalaki, Hero Nurs Rep Systematic Review Patients on extracorporeal membrane oxygenation (ECMO) often require prolonged periods of bed rest owing to the severity of their illness. Care is also required to maintain the position and integrity of the ECMO cannula. However, they experience a range of effects due to prolonged bed rest. This systematic review examined the possible effects of the early mobilization in patients on ECMO. The database PUBMED was searched by using appropriate keywords: “rehabilitation”, “mobilization”, “ECMO” and “extracorporeal membrane oxygenation”. The selection criteria for the article search were the following: (a) studies published in the last five years, (b) descriptive studies, (c) randomized studies, (d) published in the English language and (e) studies in adults. A total of 259 studies were found, 8 of which were finally selected. Most of the studies showed that early intensive physical rehabilitation related to a decrease in in-hospital stay and a reduction in the duration of mechanical ventilation and doses of vasopressors. In addition, improvements in the functional status and rate of mortality were observed along with a reduction in health care costs. Exercise training should be a fundamental part of the management of patients on ECMO. MDPI 2023-04-25 /pmc/articles/PMC10204448/ /pubmed/37218947 http://dx.doi.org/10.3390/nursrep13020066 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Systematic Review
Chatziefstratiou, Anastasia A.
Fotos, Nikolaos V.
Giakoumidakis, Konstantinos
Brokalaki, Hero
The Early Mobilization of Patients on Extracorporeal Membrane Oxygenation: A Systematic Review
title The Early Mobilization of Patients on Extracorporeal Membrane Oxygenation: A Systematic Review
title_full The Early Mobilization of Patients on Extracorporeal Membrane Oxygenation: A Systematic Review
title_fullStr The Early Mobilization of Patients on Extracorporeal Membrane Oxygenation: A Systematic Review
title_full_unstemmed The Early Mobilization of Patients on Extracorporeal Membrane Oxygenation: A Systematic Review
title_short The Early Mobilization of Patients on Extracorporeal Membrane Oxygenation: A Systematic Review
title_sort early mobilization of patients on extracorporeal membrane oxygenation: a systematic review
topic Systematic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10204448/
https://www.ncbi.nlm.nih.gov/pubmed/37218947
http://dx.doi.org/10.3390/nursrep13020066
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