Early mobilization

• Termination of exercise

  • HR: >150 or <40
  • SBP >180 or <80
  • MAP <60
  • RR >40
  • SpO2 <88%
• ECMO takes blood out and puts oxygen in to send back to the body
• Veno-arterial (VA) ecmo is cannulated though the femoral artery and femoral vein

  • not safe to mobilize
• Venovenous (VV) echo is cannulated through the internal jugular vein

  • safe to mobilize
• With VV ecmo, blood does still flow through the lungs but no gas exchange there
• Continuous renal replacement therapy aka CRRT

  • blood purification for patients experiencing acute kidney injury
  • over 24 hours
  • safe to mobilize
• hemodialysis is for acute or chronic kidney failure

  • blood is removed from the body and filtered through an external membrane which provides function to the kidneys
  • do not mobilize since its only a few hours
• Impella is a percutaneous ventricular assist device to unload the left ventricle

  • used temporarily
  • safe to mobilize if implanted in the axilla
  • goal is to maintain cardiac output