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Akut Respiratuar Distres Sendromu Sebebiyle Ekstrakorporeal Membran Oksijenasyon Tedavisi Alan Bir Hastada Fizyoterapi: Ksa ve Uzun Dnem Takip [Respir Case Rep]
Respir Case Rep. 2021; 10(3): 160-166 | DOI: 10.5505/respircase.2021.81488

Akut Respiratuar Distres Sendromu Sebebiyle Ekstrakorporeal Membran Oksijenasyon Tedavisi Alan Bir Hastada Fizyoterapi: Ksa ve Uzun Dnem Takip

lknur Naz1, Ozlem Ediboglu2, Cenk Kirakli2
1zmir Katip elebi niversitesi Salk Bilimleri Fakltesi Fizyoterapi ve Rehabilitasyon Blm, zmir
2Salk Bilimleri niversitesi Dr. Suat Seren Gs Has-talklar Cerrahisi Eitim ve Aratrma Hastanesi, zmir

Son yllarda Akut Respiratuar Distres Sendromu (ARDS) olan hastalarda yeterli gaz deiimini srdrmek iin ekstrakorporeal membran oksijenasyonu (ECMO) kullanl-maktadr. Bu olgu sunumunun amac, merkezimizin ECMO tedavisindeki ARDS'li bir hastada fizyoterapi ile ilgili deneyimini tanmlamak, fizyoterapiyi desteklemek ve ta-burcu olduktan alt ay sonra hastann uzun dnem fonksiyonel sonularn aktarmaktr. Burada, youn bakm nitemize ARDS tans ile sevk edilen ve ECMO tedavisi alan 28 yandaki bir kadn sunulmutur. Hasta ECMO'da iken pasif teknikleri ieren fizyoterapi uygulamalar alm ve ECMO'nun ardndan aktif bir mobilite programna katlmtr. Taburculuk sonras 6. ayda hastann, fonksiyonel seviye, egzersiz kapasitesi, dispne, kas kuvveti, anksiyete, depresyon ve yaam kalitesi gibi uzun dnem sonularnn olduk-a iyi seviyede olduu grlmtr. Erken fizyoterapi ve mobilite programna katlmn bir ECMO hastasnda ksa ve uzun vadeli fonksiyonel iyilemelere katkda bulunabileceini dnmekteyiz.

Anahtar Kelimeler: ARDS, ECMO, fizyoterapi.

Physiotherapy on a Patient Supported by Extracorporeal Membrane Oxygenation for Acute Respiratory Distress Syndrome: Short- and Long-Term Follow-up

lknur Naz1, Ozlem Ediboglu2, Cenk Kirakli2
1Department of Physiotherapy, zmir Katip Celebi Uni-versity, Faculty of Health Sciences, zmir, Turkey
2University of Health Sciences Turkey, Dr. Suat Seren Chest Diseases and Surgery Training and Research Hospital, zmir, Turkey

In recent years extracorporeal membrane oxygenation (ECMO) has been used to maintain adequate gas exchange in pa-tients with Acute Respiratory Distress Syn-drome (ARDS). The aim of this case report is to share our centers experience with physiotherapy in patients with ARDS on ECMO, to support the use of physiotherapy and to relate the long-term functional outcomes of the patient at six months after discharge. We present here the case of a 28-year-old female who was referred to our intensive care unit with a diagnosis of ARDS being supported by ECMO. While on ECMO, she received physiotherapy interventions including passive techniques, and participated in an active mobility program following ECMO. Her long-term outcomes, including functional level, exercise capacity, dyspnea, muscle strength, anxiety, depression and quality of life, assessed six months after discharge, were at a very good level. We consider that participation in the early physiotherapy and mobility program may contrib-ute to short- and long-term functional im-provements in an ECMO patient.

Keywords: ARDS, ECMO, physiotherapy.

lknur Naz, Ozlem Ediboglu, Cenk Kirakli. Physiotherapy on a Patient Supported by Extracorporeal Membrane Oxygenation for Acute Respiratory Distress Syndrome: Short- and Long-Term Follow-up. Respir Case Rep. 2021; 10(3): 160-166

Sorumlu Yazar: lknur Naz, Trkiye
Makale Dili: ngilizce
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