[Risk of cannulation site bleeding during physical therapy mobilization during extracorporeal membrane oxygenation : A retrospective analysis in patients with acute respiratory failure]. / Blutungsrisiko im Kanülenbereich bei physiotherapeutischer Mobilisation unter extrakorporaler Membranoxygenierung : Eine retrospektive Analyse bei Patient*innen mit akutem Lungenversagen.

BACKGROUND: Patients suffering from acute respiratory distress syndrome receive extracorporeal membrane oxygenation (ECMO) as the last possible therapy. At the University Hospital Tübingen, these patients also receive physical therapy during this phase from a specially trained team to counteract physical deconditioning. OBJECTIVES: In this work, the risk of cannula site bleeding during physiotherapy mobilization is investigated and aspects regarding safety are described. METHODS: From 2013 to 2018, 83 patients matching the inclusion criteria were treated at the Anesthesiology Intensive Care Unit at the University Hospital Tübingen. The datasets were retrospectively analyzed by means of a case-control study. For comparison, the patients were divided into a passive and an active group according to the achieved level of mobilization. Bleeding events, ECMO implantation duration, and other aspects were taken into consideration in the analysis. RESULTS AND CONCLUSION: There were two bleeding events in the passive and two bleeding events in the active group, but these were not related to physical therapy mobilization. The ECMO implantation duration varied between 1 and 77 days. Physical therapy mobilization by a specially trained interdisciplinary team did not increase the risk of bleeding at the cannulation site.