2022
DOI: 10.4037/aacnacc2022293
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An Interprofessional Approach to Mobilizing Patients With COVID-19 Receiving Extracorporeal Membrane Oxygenation

Abstract: Objective To assess survival outcomes with the intervention of an interprofessional mobilization program for patients with COVID-19 who were receiving venovenous extracorporeal membrane oxygenation (VV-ECMO). Design Preintervention and postintervention retrospective cohort study. Methods Survival outcomes of nonmobilized, adult patients (n = 16) with COVID-19… Show more

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Cited by 3 publications
(8 citation statements)
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“…After duplicates removal and screening selection, 13 articles were included in the final analysis (Figure 1). Eight studies were observational retrospective designs, [31][32][33][34][35][36][37][38] four were case reports, [39][40][41][42] and one was a randomized controlled trial. 43 Four studies out of 13 included patients with COVID-19.…”
Section: Resultsmentioning
confidence: 99%
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“…After duplicates removal and screening selection, 13 articles were included in the final analysis (Figure 1). Eight studies were observational retrospective designs, [31][32][33][34][35][36][37][38] four were case reports, [39][40][41][42] and one was a randomized controlled trial. 43 Four studies out of 13 included patients with COVID-19.…”
Section: Resultsmentioning
confidence: 99%
“…Additionally, early tracheostomy is increasingly performed within the first 48 h after cannulation to promote and expedite weaning and allow participation in rehabilitative activities. 33,35 Further research is also needed to define whether weaning from ECMO before weaning from ventilation is superior to weaning from ventilation before liberation from ECMO. 46 Several factors contribute to maintaining patients conscious and not intubated, such as the severity and etiology of the respiratory failure, the patient's initial 39 V-V (100) 8 1 (100) Mark et al 2020 40 V-V (100) 9 1 (100) Rinewalt et al 2019 41 V-A (100) 20 1 (100) Zhu et al 2019 42 V-V (100) 47 1 (100) Hayes et al 2021 43 IP V-V (14.3), V-A (85.7) SP V-V (50), V-A (50) IP 8.1 ± 4.9 SP 10.9 ± 5.5 --aLTx: after lung transplant; bLTx: before lung transplant; ECMO: extracorporeal membrane oxygenation; IP: intensive physiotherapy; IQR: interquartile range; PAFW: physiotherapy after the first week; PWFW: physiotherapy within the first week; SP: standard physiotherapy; V-A: venoarterial; V-AV: venoarterialvenous; V-V: venovenous.…”
Section: Discussionmentioning
confidence: 99%
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“…Teaming on the fly is progressively common in critical care, especially when patients are experiencing hemodynamic instability and require emergent mechanical support. Extracorporeal membrane oxygenation can be used as a lifesaving strategy [145]. By default, this intervention requires a remarkably elevated level of interprofessional collaboration between perfusionists, respiratory therapists, physicians, physical therapists, and nurses, among many other roles.…”
Section: Interprofessional Collaborationmentioning
confidence: 99%