Early mobilization of LVAD recipients

Who require prolonged mechanical ventilation

Christiane S. Perme, Robert E. Southard, David L. Joyce, George P. Noon, Matthias Loebe

Research output: Contribution to journalArticle

48 Citations (Scopus)

Abstract

Early mobilization and aggressive physical therapy are essential in patients who receive left ventricular assist devices (LVADs) due to long-term, end-stage heart failure. Some of these patients remain ventilator dependent for quite some time after device implantation. We report our regimen of mobilization with the aid of a portable ventilator, in patients with cardiac cachexia and LVAD implantation. Further, we describe the specific physical therapy interventions used in an LVAD patient who required prolonged mechanical ventilation after device implantation. The patient was critically ill for 5 weeks before the surgery and was ventilator dependent for 48 days postoperatively. There were significant functional gains during the period of prolonged mechanical ventilation. The patient was able to walk up to 600 feet by the time he was weaned from the ventilator and transferred out of the intensive care unit. He underwent successful heart transplantation 6 weeks after being weaned from the ventilator. We believe that improving the mobility of LVAD patients who require mechanical ventilation has the potential both to facilitate ventilator weaning and to improve the outcomes of transplantation.

Original languageEnglish (US)
Pages (from-to)130-133
Number of pages4
JournalTexas Heart Institute Journal
Volume33
Issue number2
StatePublished - 2006
Externally publishedYes

Fingerprint

Early Ambulation
Heart-Assist Devices
Artificial Respiration
Mechanical Ventilators
Ventilator Weaning
Equipment and Supplies
Cachexia
Heart Transplantation
Critical Illness
Intensive Care Units
Heart Failure
Transplantation
Therapeutics

Keywords

  • Activities of daily living
  • Critical care
  • Early ambulation
  • Exercise therapy
  • Heart failure, congestive/rehabilitation
  • Heart transplantation
  • Heart-assist devices
  • Physical therapy modalities/methods
  • Post-operative care
  • Ventilators, mechanical

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Perme, C. S., Southard, R. E., Joyce, D. L., Noon, G. P., & Loebe, M. (2006). Early mobilization of LVAD recipients: Who require prolonged mechanical ventilation. Texas Heart Institute Journal, 33(2), 130-133.

Early mobilization of LVAD recipients : Who require prolonged mechanical ventilation. / Perme, Christiane S.; Southard, Robert E.; Joyce, David L.; Noon, George P.; Loebe, Matthias.

In: Texas Heart Institute Journal, Vol. 33, No. 2, 2006, p. 130-133.

Research output: Contribution to journalArticle

Perme, CS, Southard, RE, Joyce, DL, Noon, GP & Loebe, M 2006, 'Early mobilization of LVAD recipients: Who require prolonged mechanical ventilation', Texas Heart Institute Journal, vol. 33, no. 2, pp. 130-133.
Perme, Christiane S. ; Southard, Robert E. ; Joyce, David L. ; Noon, George P. ; Loebe, Matthias. / Early mobilization of LVAD recipients : Who require prolonged mechanical ventilation. In: Texas Heart Institute Journal. 2006 ; Vol. 33, No. 2. pp. 130-133.
@article{90909c84fbcd40faa6312a1dd6b081a7,
title = "Early mobilization of LVAD recipients: Who require prolonged mechanical ventilation",
abstract = "Early mobilization and aggressive physical therapy are essential in patients who receive left ventricular assist devices (LVADs) due to long-term, end-stage heart failure. Some of these patients remain ventilator dependent for quite some time after device implantation. We report our regimen of mobilization with the aid of a portable ventilator, in patients with cardiac cachexia and LVAD implantation. Further, we describe the specific physical therapy interventions used in an LVAD patient who required prolonged mechanical ventilation after device implantation. The patient was critically ill for 5 weeks before the surgery and was ventilator dependent for 48 days postoperatively. There were significant functional gains during the period of prolonged mechanical ventilation. The patient was able to walk up to 600 feet by the time he was weaned from the ventilator and transferred out of the intensive care unit. He underwent successful heart transplantation 6 weeks after being weaned from the ventilator. We believe that improving the mobility of LVAD patients who require mechanical ventilation has the potential both to facilitate ventilator weaning and to improve the outcomes of transplantation.",
keywords = "Activities of daily living, Critical care, Early ambulation, Exercise therapy, Heart failure, congestive/rehabilitation, Heart transplantation, Heart-assist devices, Physical therapy modalities/methods, Post-operative care, Ventilators, mechanical",
author = "Perme, {Christiane S.} and Southard, {Robert E.} and Joyce, {David L.} and Noon, {George P.} and Matthias Loebe",
year = "2006",
language = "English (US)",
volume = "33",
pages = "130--133",
journal = "Texas Heart Institute Journal",
issn = "0730-2347",
publisher = "Texas Heart Institute",
number = "2",

}

TY - JOUR

T1 - Early mobilization of LVAD recipients

T2 - Who require prolonged mechanical ventilation

AU - Perme, Christiane S.

AU - Southard, Robert E.

AU - Joyce, David L.

AU - Noon, George P.

AU - Loebe, Matthias

PY - 2006

Y1 - 2006

N2 - Early mobilization and aggressive physical therapy are essential in patients who receive left ventricular assist devices (LVADs) due to long-term, end-stage heart failure. Some of these patients remain ventilator dependent for quite some time after device implantation. We report our regimen of mobilization with the aid of a portable ventilator, in patients with cardiac cachexia and LVAD implantation. Further, we describe the specific physical therapy interventions used in an LVAD patient who required prolonged mechanical ventilation after device implantation. The patient was critically ill for 5 weeks before the surgery and was ventilator dependent for 48 days postoperatively. There were significant functional gains during the period of prolonged mechanical ventilation. The patient was able to walk up to 600 feet by the time he was weaned from the ventilator and transferred out of the intensive care unit. He underwent successful heart transplantation 6 weeks after being weaned from the ventilator. We believe that improving the mobility of LVAD patients who require mechanical ventilation has the potential both to facilitate ventilator weaning and to improve the outcomes of transplantation.

AB - Early mobilization and aggressive physical therapy are essential in patients who receive left ventricular assist devices (LVADs) due to long-term, end-stage heart failure. Some of these patients remain ventilator dependent for quite some time after device implantation. We report our regimen of mobilization with the aid of a portable ventilator, in patients with cardiac cachexia and LVAD implantation. Further, we describe the specific physical therapy interventions used in an LVAD patient who required prolonged mechanical ventilation after device implantation. The patient was critically ill for 5 weeks before the surgery and was ventilator dependent for 48 days postoperatively. There were significant functional gains during the period of prolonged mechanical ventilation. The patient was able to walk up to 600 feet by the time he was weaned from the ventilator and transferred out of the intensive care unit. He underwent successful heart transplantation 6 weeks after being weaned from the ventilator. We believe that improving the mobility of LVAD patients who require mechanical ventilation has the potential both to facilitate ventilator weaning and to improve the outcomes of transplantation.

KW - Activities of daily living

KW - Critical care

KW - Early ambulation

KW - Exercise therapy

KW - Heart failure, congestive/rehabilitation

KW - Heart transplantation

KW - Heart-assist devices

KW - Physical therapy modalities/methods

KW - Post-operative care

KW - Ventilators, mechanical

UR - http://www.scopus.com/inward/record.url?scp=33748061658&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33748061658&partnerID=8YFLogxK

M3 - Article

VL - 33

SP - 130

EP - 133

JO - Texas Heart Institute Journal

JF - Texas Heart Institute Journal

SN - 0730-2347

IS - 2

ER -