Abstract
Intensive care unit-acquired weakness is a common sequela of critical illness and is associated with deficits in physical strength, functional performance, and associated health-related quality of life. 1–3 Early rehabilitation in the intensive care unit (ICU) is recognised as safe and feasible. 4,5 Maintaining and restoring musculoskeletal strength and function is recognised as an essential element of therapy in critical care. 3 Active rehabilitation of patients with femoral access veno-venous extracorporeal membrane oxygenation (VV ECMO) has been deemed a high-risk procedure and to the authors' knowledge is not a routine practice. There is limited published literature describing the rehabilitation of those requiring VV ECMO in critical care. 6–8 The aim of this study was to explore the active rehabilitation of those requiring VV ECMO. A retrospective review of the medical records of patients admitted to the Intensive Care Unit at Saint Thomas’ Hospital requiring VV ECMO was undertaken. Owing to the natu...
Highlights
Morris and Osman pneumonia (n 1⁄4 20), interstitial lung disease (n 1⁄4 5), aspiration (n 1⁄4 2), asthma (n 1⁄4 4), tuberculosis (n 1⁄4 2), cancer (n 1⁄4 1), and non-pulmonary ARDS (n 1⁄4 3)
Intensive care unit-acquired weakness is a common sequela of critical illness and is associated with deficits in physical strength, functional performance, and associated health-related quality of life.[1,2,3]
A retrospective review of the medical records of patients admitted to the Intensive Care Unit at Saint Thomas' Hospital requiring venous extracorporeal membrane oxygenation (VV ECMO) was undertaken
Summary
Intensive care unit-acquired weakness is a common sequela of critical illness and is associated with deficits in physical strength, functional performance, and associated health-related quality of life.[1,2,3] Early rehabilitation in the intensive care unit (ICU) is recognised as safe and feasible.[4,5] Maintaining and restoring musculoskeletal strength and function is recognised as an essential element of therapy in critical care.[3] Active rehabilitation of patients with femoral access veno-venous extracorporeal membrane oxygenation (VV ECMO) has been deemed a high-risk procedure and to the authors’ knowledge is not a routine practice. A retrospective review of the medical records of patients admitted to the Intensive Care Unit at Saint Thomas' Hospital requiring VV ECMO was undertaken. Details of rehabilitation sessions were recorded daily on the electronic patient record by physiotherapists.
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