Mastodawn

Sabrina Eggmann, PhD Jan 29, 2025

In this publication, we have evaluated our new #CPAx e-learning in Germany, Austria and Switzerland and found excellent inter- and intra-rater reliability (ICC >0.9). This is the first study to evaluate #intra-rater reliablity of the CPAx and to qualitatively explore participants' view. Thereby, the CPAx is perceived as practical to plan and evaluate #ICUrehab 💪 🫁 🫀 🧠

The article is open access 👉 https://www.sciencedirect.com/science/article/pii/S0964339725000205 and the e-learning freely available in German-speaking countries.

ELSO Mar 14, 2024

🫁 Percutaneous VP #ECMO as bridge to lung #transplantation: useful to help mitigating development of acute RV failure in potential recipients on #MCS. This configuration enhances RV stability and promotes hemodynamic stability. Decreased recirculation & direct return of oxygenated blood into pulmonary arterial system may facilitate more successful sedation weaning trials, ambulation, rehabilitation #ICUrehab of patients waiting for LT, thereby improving #Tx outcomes.
🖇️ https://bit.ly/48Zlfsa

ELSO Feb 11, 2024

ECMOve mobilization device for #ECMO patients: a step forward #ICUrehab?? Design & development of a system providing safety/support/accessibility during both stationary and ambulatory #ECLS. The modular cart-in-cart system carries the necessary ECMO equipment and includes:
⚙️ extendable walking frame
⚙️ folding seat for patient transport
⚙️ adjustable shoulder brace with lockable connectors enabling safe fixation of blood tubing
🖇️ https://bit.ly/3SUDREY

ECMOve: A Mobilization Device for Extracorporeal Membrane... : ASAIO Journal

ical 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....

LWW

Sabrina Eggmann, PhD Feb 4, 2024

We need to talk about adverse events #AE during physical rehabilitation #ICUrehab in critical care trials:

➡️ WHO defines safety as "absence of prevetable harm"
➡️ immobility also causes harm
➡️ not all AEs are equal
➡️ exercise induces physiological reactions, potentially leading to underdosing & ineffectiveness?
➡️ exhaustion & muscle inexcitabily are rarely reported

📎 https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(24)00018-X/fulltext

Sabrina Eggmann, PhD Nov 7, 2023

Current insight article on #physiotherapy interventions to prevent, treat & rehabilitate patients with pressure injuries in ICU
✅education
✅positioning
✅strengthening
✅functional retraining
✅ambulation
#ICUrehab

📎https://www.sciencedirect.com/science/article/pii/S0964339723002008

Sabrina Eggmann, PhD Nov 4, 2023

Does our own #mindset hinder implementation of evidence-based practices such as low sedation or early mobilisation #ICUrehab?

Survey among critical care clinicians (n=401) asking "would you like to be sedated"? Shockingly more than half (59%) answered yes!

There were no differences among professions but we found several differences in attidude

🖇️ https://www.sciencedirect.com/science/article/pii/S0964339723001957?dgcid=author

ELSO Oct 9, 2023

🥣 Delivering appropriate nutrition support to critically ill infants & children on #ECMO? Pivotal component of providing optimized care! Here, review aimed to summarize existing literature around some of the more challenging aspects
1️⃣ prescribing suitable energy & protein goals
2️⃣ providing optimal nutrition
3️⃣ impact of dialysis on nutritional status in #ECLS patients
4️⃣ providing optimal care with limited evidence
#PedsICU #ICUrehab ASAIO Journal
🖇️ https://bit.ly/3PQYAqs

Challenges of Nutrition Support in Pediatric Patients... : ASAIO Journal

aimed to summarize the existing literature around some of the more challenging aspects of delivering appropriate nutrition to children receiving extracorporeal membrane oxygenation....

LWW

Sabrina Eggmann, PhD Oct 5, 2023

Point prevalence studies provide an excellent overview of current, real-world practices and allow identification of common barriers. Currently, only about 16% of mechanically ventilated patients are mobilised early. Still a lot to do to translate #ICUrehab evidence into clinical practice.

New editorial: https://www.sciencedirect.com/science/article/pii/S0964339723001556