Safety of Nurse-Led Ambulation for Patients on Venovenous Extracorporeal Membrane Oxygenation

Boling, Bryan; Dennis, Donna; Tribble, Thomas; Rajagopalan, Navin; Hoopes, Charles W.

doi:10.1177/1526924816640646

Cited by 27 publications

(41 citation statements)

References 23 publications

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“…2 Whilst at the specialist severe respiratory failure centre for ECMO, patients may receive respiratory and rehabilitative physiotherapy. Whilst the provision of physiotherapy service is variable within the UK and worldwide, evidence supporting physiotherapy and ECMO is increasing, 3,4 as is the awareness of the importance of physiotherapy and rehabilitation within ICU. 5 Respiratory physiotherapy can reduce ventilator-associated pneumonia, improve static lung compliance, enhance sputum clearance and address atelectasis and lobar collapse.…”

Section: Introductionmentioning

confidence: 99%

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In-patient physiotherapy for adults on veno-venous extracorporeal membrane oxygenation – United Kingdom ECMO Physiotherapy Network: A consensus agreement for best practice

Eden

Purkiss

Cork

et al. 2017

Journal of the Intensive Care Society

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Clinical specialist physiotherapists from the five severe respiratory failure centres in England where respiratory extracorporeal membrane oxygenation (ECMO) is practiced have established this consensus agreement for physiotherapy best practice. The severe respiratory failure centres are Wythenshawe Hospital, Manchester; Glenfield Hospital, Leicester; Papworth Hospital, Cambridge; Guy's and St Thomas' Hospital, London and The Royal Brompton Hospital, London. Although research into physiotherapy and ECMO is increasing, there is not a sufficient amount to write evidence-based guidelines; hence the development of a consensus document, using knowledge and experience of the specialist physiotherapists working with patients receiving ECMO. The document outlines safety aspects, practicalities and additional treatment considerations for physiotherapists conducting respiratory care and physical rehabilitation.

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Section: Introductionmentioning

confidence: 99%

“…[26][27][28] Rehabilitation on ECMO requires a careful, multi-disciplinary approach, including involvement of staff with experience of moving patients on ECMO. 3,4,22 ECMO multi-disciplinary team…”

Section: Introductionmentioning

confidence: 99%

In-patient physiotherapy for adults on veno-venous extracorporeal membrane oxygenation – United Kingdom ECMO Physiotherapy Network: A consensus agreement for best practice

Eden

Purkiss

Cork

et al. 2017

Journal of the Intensive Care Society

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“…When the ECMO nurse works alongside the ICU bedside nurse, bedside care becomes more effective (Hijjeh, 2017 ). Moreover, ECMO patients require regular/constant observation and care, which requires a standby nurse (Boling et al., 2016 ; Hijjeh, 2017 ).…”

Section: Discussionmentioning

confidence: 99%

Perception of other healthcare professionals about the nurses' role and competencies in veno‐venous extracorporeal membrane oxygenation care: A qualitative study

2021

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“…27 In addition, from the available data, it appears that the safety of patients receiving venovenous ECMO is the major concern for professionals involved in the physiotherapeutic intervention. 25,26,28 Last, there is another important aspect that needs to be underlined. The development of national networks of rehabilitative interest for ECMO patients has provided indications for a multidisciplinary approach in such a particular class of patients.…”

Section: Discussionmentioning

confidence: 99%

Extracorporeal Lung Support for Hypercapnic Ventilatory Failure

et al. 2018

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Extracorporeal lung support can be achieved using extracorporeal membrane oxygenation (ECMO) and extracorporeal CO removal. The ECMO systems allow a total lung support, providing both blood oxygenation and CO removal. Unlike ECMO, extracorporeal CO removal refers to an extracorporeal circuit that provides a partial lung support and selectively extracts CO from blood. The concept of partial extracorporeal lung support by removing only CO without effect on oxygenation was first proposed in 1977 by Kolobow and Gattinoni, with the aim to reduce breathing frequency, ventilator tidal volumes, and inspiratory pressures, facilitating lung-protective ventilation. Patients with end-stage chronic lung disease can survive, while waiting for lung transplantation, only if treated with mechanical ventilation or extracorporeal lung support. ECMO has been considered a suitable approach as a bridge to lung transplantation for patients with advanced respiratory failure waiting for lung transplantation. Extracorporeal CO removal has been proposed for the treatment of COPD patients suffering from exacerbation to avoid invasive mechanical ventilation. The rationale is to combine the improvement of alveolar ventilation by using noninvasive ventilation with muscle unload provided by removing CO directly from the blood, using an extracorporeal device. Increasing attention has been given to the possibility of patients performing a variety of physical activities while receiving extracorporeal lung support. This is possible thanks to the continuous development of technology together with the customization of sedative protocols. Awake extracorporeal support is a specific approach in which the patient is awake and potentially cooperative while receiving ECMO. The present analysis aims to synthesize the main results obtained by using extracorporeal circuits in patients with respiratory failure, particularly in those patients with hypercapnia.

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Safety of Nurse-Led Ambulation for Patients on Venovenous Extracorporeal Membrane Oxygenation

Abstract: The adoption of a nurse-driven program to ambulate patients on VV ECMO is safe and may reduce other complications associated with immobility.

Cited by 27 publications

References 23 publications

In-patient physiotherapy for adults on veno-venous extracorporeal membrane oxygenation – United Kingdom ECMO Physiotherapy Network: A consensus agreement for best practice

In-patient physiotherapy for adults on veno-venous extracorporeal membrane oxygenation – United Kingdom ECMO Physiotherapy Network: A consensus agreement for best practice

Perception of other healthcare professionals about the nurses' role and competencies in veno‐venous extracorporeal membrane oxygenation care: A qualitative study

Extracorporeal Lung Support for Hypercapnic Ventilatory Failure

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