Jessica Dalton; Lehigh Valley Health Network, Allentown, PA

Traditionally, patients receiving veno-venous extracorporeal membrane oxygenation (V-V ECMO) are considered too unstable for physical therapy or are normally mobilized if V-V ECMO is a bridge to transplant. However, evidence shows mobilization should be considered for most patients receiving V-V ECMO. This poster details a case study of a 25-year-old man who received V-V ECMO for 60 days and for whom an active mobilization plan was implemented, though he was extremely unstable and not a transplant candidate.

The V-V–ECMO program was initiated in this academic, Magnet hospital in 2012 and outcomes have exceeded the Extracorporeal Life Support Organization benchmarks. Before this case study, patients receiving V-V ECMO were not mobilized. Driving forces to consider mobilizing this patient were that he would require long-term V-V–ECMO support, ineligibility for transplant or posthospital rehabilitation, and the growing evidence...

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