Schmack Bastian, Hanke Jasmin S, Schmitto Jan D, Kühn Christian, Ruhparwar Arjang
Department of Cardiac-, Thoracic-, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, Germany.
JHLT Open. 2024 Feb 17;4:100069. doi: 10.1016/j.jhlto.2024.100069. eCollection 2024 May.
Extracorporeal membrane oxygenation (ECMO) is a well-established therapy to bridge heart- and lung-failure patients to recovery, transplantation, or permanent assist devices. However, it is often associated with thorough patient immobility resulting in an increased hospital length-of-stay and inferior outcomes. To address the challenge of immobility on temporary mechanical support system (tMCS), the "ECMO TO GO" concept was developed to offer full patient mobilization. We present the successful application of a wearable ECMO device. With this setup, the patient was successfully and recurrently mobilized and could walk >200 m on hospital floors. No complications or adverse events occurred during the mobilization procedure.
体外膜肺氧合（ECMO）是一种成熟的治疗方法，用于帮助心肺功能衰竭患者恢复、进行移植或使用永久性辅助装置。然而，它常常导致患者完全无法活动，从而使住院时间延长且预后较差。为应对临时机械支持系统（tMCS）中患者无法活动这一挑战，人们提出了“移动ECMO”概念，以实现患者的全面活动能力。我们展示了一种可穿戴ECMO设备的成功应用。通过这种设置，患者成功且多次实现了活动能力，能够在医院病房内行走超过200米。在活动过程中未发生并发症或不良事件。
