Journal article
Maintaining Mobility in a Patient Who Is Pregnant and Has COVID-19 Requiring Extracorporeal Membrane Oxygenation: A Case Report
Physical therapy, Vol.101(1), pp.1-7
01/01/2021
DOI: 10.1093/ptj/pzaa189
PMCID: PMC7665742
PMID: 33395476
Abstract
Objective Mobilization while receiving life support interventions, including mechanical ventilation and extracorporeal membrane oxygenation (ECMO), is a recommended intensive care unit (ICU) intervention to maintain physical function. The purpose of this case report is to describe a novel approach to implementing early mobility interventions for a patient who was pregnant and receiving ECMO while continuing necessary infectious disease precautions because of diagnosed coronavirus disease-19 (COVID-19).
Methods A 27-year-old woman who was pregnant was admitted to the ICU with COVID-19 and rapidly developed acute respiratory failure requiring 9 days of ECMO support. After a physical therapist consultation, the patient was standing at the bedside by hospital day 5 and ambulating by hospital day 9.
Results The patient safely participated in physical therapy during ICU admission and was discharged to home with outpatient physical therapy follow-up after 14 days of hospitalization.
Conclusion Early mobility is feasible during ECMO with COVID-19, and active participation in physical therapy, including in-room ambulation, may facilitate discharge to home. Innovative strategies to facilitate routine activity in a patient who is critically ill with COVID-19 require an established and highly trained team with a focus on maintaining function.
Impact Early mobility while intubated, on ECMO, and infected with COVID-19 is feasible while adhering to infectious disease precautions when it is performed by an experienced interdisciplinary team.
Details
- Title: Subtitle
- Maintaining Mobility in a Patient Who Is Pregnant and Has COVID-19 Requiring Extracorporeal Membrane Oxygenation: A Case Report
- Creators
- Alex Mark - University of IowaJennifer P. Crumley - University of IowaKristina L. Rudolph - University of IowaKevin Doerschug - University of IowaAnna Krupp - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Physical therapy, Vol.101(1), pp.1-7
- DOI
- 10.1093/ptj/pzaa189
- PMID
- 33395476
- PMCID
- PMC7665742
- NLM abbreviation
- Phys Ther
- ISSN
- 0031-9023
- eISSN
- 1538-6724
- Publisher
- Oxford Univ Press
- Number of pages
- 7
- Language
- English
- Date published
- 01/01/2021
- Academic Unit
- Pulmonary, Critical Care, and Occupational Medicine; Nursing; Internal Medicine
- Record Identifier
- 9984359592102771
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