Physical therapy in successful venoarterial extracorporeal membrane oxygenation bridge to orthotopic heart transplantation.
Daniel RinewaltYasuhiro ShudoMasataka KawanaY Joseph WooPublished in: Journal of cardiac surgery (2019)
Early intensive physical rehabilitation is feasible and safe and may result in improved outcomes and expeditious discharge in VA ECMO patients. Protocol driven multidisciplinary physical therapy with a patient on femorally cannulated VA-ECMO retains the advantages of lower extremity peripheral cannulation while eliminating the risks of immobility. The new UNOS allocation system may result in a successful bridge to transplantation in patients on VA-ECMO due to the increased prioritization of this population to receive donor organs.
Keyphrases
- extracorporeal membrane oxygenation
- acute respiratory distress syndrome
- end stage renal disease
- respiratory failure
- newly diagnosed
- ejection fraction
- chronic kidney disease
- mechanical ventilation
- physical activity
- prognostic factors
- mental health
- risk assessment
- metabolic syndrome
- mesenchymal stem cells
- cell therapy