Robotik für eine qualitativ hochwertige Mobilisation: Verbesserte Regeneration eines COVID-19-Patienten mit ECMO-Therapie

Translated title of the contribution: Robotic-assisted mobilization for an effective mobilization in a COVID-19 patient with ECMO treatment

Frank Dieterich, Jan Perras, Wolfram Popp, Marlena Ahrens, Steffen Wirth

    Research output: Contribution to journalOriginal Article (Journal)peer-review

    Abstract

    An effective (early) mobilization in COVID-19 intensive care patients with ECMO treatment is very important. Sedation, extracorporeal procedures with the danger of circuit malfunction, large lumen ECMO cannulas with a risk of dislocation and a very severe neuromuscular weakness are factors that could deem mobilization beyond stage 1 of the ICU mobility score (IMS) in some cases difficult or impossible; however, early mobilization is a key point of the ABCDEF bundle to counteract pulmonary complications, neuromuscular dysfunction and enable recovery. The case of a 53-year-old, previously healthy and active male patient with a severe and complicated course of COVID-19 and pronounced ICU-acquired weakness is described. While receiving ECMO the patient could be mobilized using a robotic system. Due to severe and rapidly progressing pulmonary fibrosis, additional low-dose methylprednisolone therapy (Meduri protocol) was implemented. Under this multimodal treatment the patient was successfully weaned from the ventilator and decannulated. Robotic assisted mobilization has the potential to be a novel and safe therapeutic option for a customized and highly effective mobilization in ECMO patients.

    Translated title of the contributionRobotic-assisted mobilization for an effective mobilization in a COVID-19 patient with ECMO treatment
    Original languageGerman
    Pages (from-to)12-16
    Number of pages5
    JournalProCare
    Volume28
    Issue number1-2
    DOIs
    Publication statusPublished - 2023

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