Active rehabilitation in a pediatric extracorporeal membrane oxygenation patient.
Decreased intensive care unit (ICU) mortality has led to an increase in ICU morbidity. ICU-induced immobilization plays a major role in this morbidity. Recently, ICU mobility has been shown to be safe and effective in adolescent and adult patients. We report the successful rehabilitation of an 8-year-old boy with severe acute respiratory distress syndrome on extracorporeal membrane oxygenation. A child who is critically ill may safely perform active rehabilitation while on venovenous extracorporeal membrane oxygenation. The gains achieved through active rehabilitation and optimal nutrition can facilitate recovery from severe acute respiratory distress syndrome in select pediatric patients on extracorporeal membrane oxygenation.
Pediatrics, Section of Critical Care, Children's Hospital Colorado, 13121 E 17th Ave, MS 8414, Aurora, CO 80045(∗). Electronic address: carleen.zebuhr@childrenscolorado.org.
Carleen
C
Zebuhr
Department of Physical Medicine and Rehabilitation, Children's Hospital of Pittsburgh, Pittsburgh, PA(†).
Amit
A
Sinha
Department of Clinical Nutrition, Children's Hospital Colorado, Aurora, CO(‡).
Heather
H
Skillman
Department of Cardiology, Children's Hospital Colorado, Aurora, CO(§).
Shannon
S
Buckvold
D002648:Child; D004750:Enteral Nutrition; D015199:Extracorporeal Membrane Oxygenation; D006801:Humans; D015278:Intensive Care Units, Pediatric; D008297:Male; D044342:Malnutrition / Q000209:etiology / Q000628:therapy; D018908:Muscle Weakness / Q000209:etiology / Q000534:rehabilitation; D009135:Muscular Diseases / Q000209:etiology / Q000534:rehabilitation; D009788:Occupational Therapy; D026741:Physical Therapy Modalities; D011115:Polyneuropathies / Q000534:rehabilitation; D045169:Severe Acute Respiratory Syndrome / Q000628:therapy*; D014139:Tracheostomy