Active rehabilitation and physical therapy during extracorporeal membrane oxygenation while awaiting lung transplantation: A practical approach*

• DOI: 10.1097/ccm.0b013e3182282bbe
• Publication Date: 2011-07-15T13:22:10Z
• Authors: David A. Turner; Ira M. Cheifetz; Kyle J. Rehder; W. Lee Williford; Desiree Bonadonna; Scott J. Banuelos; Stacey Peterson-C...; Shu S. Lin; R. Duane Davis; David Zaas
• Keywords: Patient Care Team; Adolescent; Intensive Care Units, Pediatric; 3. Good health; Young Adult; 03 medical and health sciences; Extracorporeal Membrane Oxygenation; 0302 clinical medicine; Preoperative Care; Humans; Female; Early Ambulation; Physical Therapy Modalities; Lung Transplantation

Extracorporeal membrane oxygenation as a bridge to lung transplantation has traditionally been associated with substantial morbidity and mortality. A major contributor these complications may be weakness overall deconditioning secondary pretransplant critical illness immobility. In an attempt address this issue, we developed collaborative program allow for active rehabilitation physical therapy patients requiring life support extracorporeal before transplantation.An interdisciplinary team responded acute need develop mechanism awaiting while being managed oxygenation. We describe series of three who benefited from new approach.A quaternary care pediatric intensive unit in children's hospital set within 800-bed university academic adolescent adult patients. PATIENTS, INTERVENTIONS, AND MAIN RESULTS: Three (ages 16, 20, 24 yrs) end-stage respiratory failure were rehabilitated on transplantation. These involved and, ultimately, ambulatory successful Following transplantation, the liberated mechanical ventilation, weaned room air, transitioned out unit, less than 1 wk posttransplant.A comprehensive, multidisciplinary system can safely rehabilitation, therapy, ambulation Such programs lead decreased threshold utilization transplant have potential improve conditioning, decrease resource utilization, better outcomes require