중환자실에서 체외막산소화장치를 적용한 환자의 조기 운동치료 사례연구

Early Mobilization for a Patient on Extracorporeal Membrane Oxygenation in Intensive Care Unit: Case Report

Purpose : The purpose of this case study is to suggest successful methods for mobilization in case of a patient on extracorporeal membrane oxygenation (ECMO) in intensive care unit. Methods : The patient with a pneumonia following acute respiratory failure was received three times of early mobilization during ECMO support by the interprofessional ICU early mobilization team. Result : The patient on ECMO was mobilized successfully including walking training in the ICU. In addition, after the mobilization the standing balance and lower muscle strength were improved. Conclusion : The most important key was the multidisciplinary team approach to mobilize safely and successfully the patient on ECMO. The decision about which therapy and how much intensity of exercise would be implemented was a collaborative process among the all of team members.