Extracorporeal Membrane Oxygenation
Conditions
Keywords
Extracorporeal Membrane Oxygenation, early rehabilation, muscle ultrasound
Brief summary
ECMO is increasingly used in critically ill patients with severe circulatory and/or respiratory failure. Because of the catheterization of the femoral artery and femoral vein, usage of sedatives, and occasionally with neuromuscular blockers, ECMO patients are generally considered unsuitable for early activity. However, some recent retrospective studies and a small number of single-center, small-scale prospective studies have shown that early activity of ECMO patients is feasible, and early active activity is associated with recovery of independent function and reduction of delirium incidence.
Interventions
After comprehensive assessment by doctors, nurses and rehabilitation therapists, patients gradually begin rehabilitation treatment.IMS 0: no mobilisation or passively exercised by staff. IMS 1: sitting in bed and actively exercising .IMS 2: passively moved to chair without standing.IMS 3: sitting over edge of bed.IMS 4: standing in front of bed.IMS 5: transferring bed to chair.IMS 6: marching on spot.IMS 7: walking with assistance of more than one person.IMS 8: walking with assistance of one person.IMS 9: walking independently with a gait aid.IMS 10: walking independently without a gait aid.
Sponsors
Study design
Eligibility
Inclusion criteria
* ECMO time ≥1 day * Aged older than16 years old and less than 70 years old
Exclusion criteria
* coma deep * sedation muscle relaxation (RAAS-3-5) * Active bleeding deep vein thrombosis * High dose of vasoactive drugs * unstable vital signs * Acute stage of myocardial infarction (within 2d) * Malignant arrhythmia * pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| muscle ultrasound | 7 days | The thickness of intercostal muscle and rectus femoris muscle was measured by ultrasound |
Secondary
| Measure | Time frame |
|---|---|
| ECMO duration time | 30 days |
Countries
China