From the Faculty of Engineering Technologies, Department of Biomechanical Engineering, Engineering Organ Support Technologies, University of Twente, Enschede, the Netherlands.
Department of Cardiothoracic Surgery, Thorax Centrum Twente, Medisch Spectrum Twente, Enschede, the Netherlands.
ASAIO J. 2024 May 1;70(5):377-386. doi: 10.1097/MAT.0000000000002153. Epub 2024 Feb 20.
Extracorporeal membrane oxygenation (ECMO) is a temporary lifesaving treatment for critically ill patients with severe respiratory or cardiac failure. Studies demonstrated the feasibility of in-hospital mobilizing during and after ECMO treatment preventing neuromuscular weakness and impaired physical functioning. Despite more compact mobile ECMO devices, implementation of ambulatory ECMO remains labor-intensive, complex, and challenging. It requires a large multidisciplinary team to carry equipment, monitor and physically support the patient, and to provide a back-up wheelchair in case of fatigue. Moreover, there is no adequate solution to ensure the stability of the patient's cannula and circuit management during ambulation. We developed a system contributing to improvement and innovation of current ambulatory ECMO patient programs. Our modular cart-in-cart system carries necessary ECMO equipment, features an extendable walking frame, and contains a folding seat for patient transport. An adjustable shoulder brace with lockable tubing-connectors enables safe fixation of the blood tubing. ECMOve provides safety, support, and accessibility while performing ambulatory ECMO for both patient and caregiver. Prototype evaluation in a simulated intensive care unit showed feasibility of our design, but needs to be evaluated in clinical care.
体外膜肺氧合 (ECMO) 是一种治疗严重呼吸或心脏衰竭的危重病患者的临时救生治疗方法。研究表明，在 ECMO 治疗期间和之后进行院内动员是可行的，可以预防神经肌肉无力和身体功能受损。尽管有更紧凑的移动 ECMO 设备，但实施可移动 ECMO 仍然是劳动密集型、复杂和具有挑战性的。它需要一个庞大的多学科团队来携带设备、监测和身体支持患者，并在疲劳时提供备用轮椅。此外，没有足够的解决方案来确保患者在移动过程中插管和回路管理的稳定性。我们开发了一个系统，有助于改进和创新当前的可移动 ECMO 患者计划。我们的模块式推车在推车内系统携带必要的 ECMO 设备，具有可扩展的步行框架，并包含一个用于患者运输的折叠座椅。带有可锁定管连接器的可调节肩带可实现安全固定血液管。在模拟重症监护病房中的原型评估表明，我们的设计具有可行性，但需要在临床护理中进行评估。
