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Total Lift Bed in Cardiac

Cardiac

Patients with femoral placement of IABP or Impella devices are traditionally on strict bedrest as hip flexion greater than 30 degrees is contraindicated due to risk of various complications such as pump migration or vascular damage.

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The Total Lift Bed allows these patients to be partially or fully weight bearing without breaking these precautions to prevent the deleterious effects of bedrest. Patients are able to egress in full standing position directly off of the bed.

 

There is an increasing number of facilities in the US that are using the total lift bed to safely progress patients to ambulation in the hallway using The Ramsey Protocol.

VitalGo Animation

VitalGo Animation

Case Scenario 2

Case Scenario 2

Study 

Safe to Mobilize Balloon pump and empella patients. 

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 Protocol

Please use button below to request an Example ECMO Protocol.

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  1. ECMO Resources:

  2. von Stumm M, Bojes P, Kubik M, et al. (2016). Feasibility and safety of mobilization of patients with extracorporeal membrane oxygenation: a prospective cohort study. The Thoracic and Cardiovascular Surgeon, 64(S 01), OP73. https://doi.org/10.1055/s-0036-1571526

  3. Ferreira DDC, Marcolino MAZ, Macagnan FE, et al. (2019). Safety and potential benefits of physical therapy in adult patients on extracorporeal membrane oxygenation support: a systematic review. Revista Brasileira de Terapia Intensiva, 31, 227-239. https://doi.org/

    10.5935/0103- 507X.20190017

  4. Abrams D, Javidfar J, Farrand E, et al.(2014). Early mobilization of patients receiving extracorporeal membrane oxygenation: a retrospective cohort study. Critical Care, 18(1), R38. https://doi.org/10.1186/cc13746

  5. Rehder KJ, Turner DA, Hartwig MG, et al: Active rehabilitation during extracorporeal membrane oxygenation as a bridge to lung transplantation, J Resp Care, 58(8): 1291-1298, 2013. https://doi.org/10.4187/respcare.02155

  6. Lehr CJ, Zaas DW, Cheifetz IM, Turner DA: Ambulatory Extracorporeal membrane oxygenation as a bridge to lung transplantation, Chest, 147(5): 1213-1218, 2015. DOI: 10.1378/chest.14-1288

  7. Abrams D, Garan AR, Brodie D: Awake and fully mobile patients on cardiac extracorporeal life support, Ann Cardiothorac Surg, 8(1): 44-53, 2019. DI: 10.21037/acs.2018.08.03

  8. Ko J, Cho TH, Park YH, et al: Feasibility and safety of early physical therapy and active mobilization for patients on extracorporeal membrane oxygenation, J ASAIO, 61: 564-568, 2015. DOI: 10.1097/MAT.0000000000000239

  9. Wells CL, Forrester J, Vogel J, et al: Safety and feasibility of early physical therapy for patients n extracorporeal membrane oxygenator: Univerysity of Maryland Medical Center experience, Crit Care Med, 46: 53-59, 2018. DOE: 10.1097/CCM. 0000000000002770

  10. Pasrija C, Mackowick KM, Raithel M, et al: Ambulation with femoral arterial cannulation can be safely performed on venoarterial extracorporeal membrane oxygenation, Ann Thorac Surg, 107: 1389-1394, 2019. https://doi.org/10.1016/j.athoracsur.2018.10.48

  11. Hightower J, Sura L. (2022) A Patient Post COVID-19 on ECMO as a Bridge to a Lung Transplant and CABG: A Brief Case Report Using Progressive Tilt Therapy. Int J SPHM. Special Issue (Early Mobility):31-33. https://sphmjournal.com/wp-content/uploads/

    April2022SpecialIssueEM.pdf

  12. Sura L, Hightower J, Birst J, et al. (2022). The role of occupational therapy in patients requiring extracorporeal membrane oxygenation with coronavirus disease: A pilot case series. J of Acute Care Occ Therapy, 4(1), 1-27. https://jacotorg.files.wordpress.com/2022/03/

    jacot_volume-4_issue-1_winter2022_sura-et-al.pdf

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