Christine Perme, PT, CCS, FCCM discusses the physical therapy of long term ECMO patients.
Extracorporeal Membrane Oxygenation (ECMO) has revolutionized patient care in critical settings, supporting individuals with severe cardiac and respiratory failure. An emerging practice that has shown significant benefits in patient recovery is the ambulation of ECMO patients. This video delves into innovative strategies and clinical guidelines for safely mobilizing patients on ECMO, providing essential insights for perfusionists and healthcare professionals.
The presentation begins by highlighting the historical hesitancy and recent shift towards ambulating patients on ECMO. It discusses the physiological and psychological benefits of early mobility, including improved muscle tone, enhanced pulmonary function, and reduced hospital stays. The video outlines the criteria for patient selection, distinguishing between high-risk and low-risk patients based on factors such as hemodynamic stability and mental alertness.
Detailing the benefits, the video emphasizes how mobilization aids in quicker recovery and better overall outcomes by preventing muscle atrophy and promoting pulmonary hygiene. It also addresses the logistical and safety considerations necessary when ambulating ECMO patients, such as securing cannulas and monitoring vital signs meticulously.
A significant focus is placed on the interdisciplinary team approach required for successful patient ambulation. This includes collaboration among perfusionists, physical therapists, nurses, and physicians to ensure a coordinated and safe mobilization plan. The role of each team member is explored, with special attention to the integration of family members in the rehabilitation process.
Through real-world scenarios and case studies, the video demonstrates practical applications of the guidelines and discusses the outcomes of different ambulation strategies. It explores the challenges and solutions encountered by healthcare teams, including adapting practices for patients with varying levels of stability and mobility.
The video provides a detailed look at the specific techniques and equipment used in ambulating ECMO patients, such as specialized mobility harnesses and secure cannula management systems. It explains how these tools are essential for ensuring patient safety and effective mobility sessions.
An extensive discussion on patient safety protocols is included, emphasizing the importance of continuous monitoring and dynamic assessment during ambulation. The video outlines protocols for emergency situations, including the immediate steps to be taken if a patient shows signs of distress or if equipment issues arise.
The importance of proper training and continuous education for clinical staff involved in ambulating ECMO patients is underscored. The video details training programs and workshops designed to enhance the skills and knowledge of perfusionists, nurses, and physical therapists in handling complex clinical scenarios associated with ECMO mobility.
Ethical considerations are addressed, focusing on the necessity of obtaining informed consent from patients or their guardians before initiating mobility practices. The video discusses the ethical dilemmas that may arise and how to handle them with sensitivity and professionalism.
Looking ahead, the video discusses ongoing research and potential innovations in the field of ECMO patient mobility. It speculates on new technologies and methods that could further facilitate the safe ambulation of these critically ill patients, such as wearable devices or advanced simulation models for training healthcare professionals.
This comprehensive review serves as a vital resource for healthcare teams, particularly perfusionists, by providing them with actionable strategies and knowledge to enhance the care of ECMO patients through ambulation. It encourages a proactive approach to patient mobility, emphasizing the importance of safety, teamwork, and patient-centered care in improving clinical outcomes.
Christiane Perme, PT CCS FCCM is the owner of Perme ICU Rehab Seminars and a Clinical Development Specialist at the Houston Methodist Hospital
