Billy Villao

Cedars-Sinai Medical Center

Author Statistics

Papers

Citation

H-Index

i-10 index

Research Trends

Author Order

Document Type

Co-Authors

Miguel A. Velazquez

Newcastle University

Bernice Coleman

Cedars-Sinai Medical Center

suzanne seidel

Cedars-Sinai Medical Center

Meshe Chonde

Cedars-Sinai Smidt Heart Institute

Anthony Andreas

Cedars-Sinai Medical Center

Harriet U. Aronow

Cedars-Sinai Medical Center

Alice Chan

Cedars-Sinai Medical Center

Sunny Hsu

Cedars-Sinai Medical Center

Cooperative Institutions

Cedars-Sinai Medical Center

Cedars-Sinai Smidt Heart Institute

University of California, Los Angeles

Craft Engineering Associates (United States)

Newcastle University

Hospital Universitario Infanta Leonor

Norwegian University of Life Sciences

Anna Needs Neuroblastoma Answers

Hesco (United States)

Transnational Press London

Author Statistics

Papers

Citation

H-Index

i-10 index

Research Field

Abstract 16986: Verticalize to Mobilize: A Pilot Study

Circulation (2023)

Alice Chan Meshe Chonde suzanne seidel Billy Villao Bernice Coleman

Introduction: Early mobility in critical illnesses, like acute decompensated heart failure, is essential to preserving muscle strength. However, patients on mechanical support devices such as a femoral-inserted intra-aortic balloon pump (f-IABP) have traditionally had limited mobility due to potential complications. Unfortunately, this commonly leads to prolonged ICU stay and an increased need for rehabilitation. Aim: This study evaluates the safety and feasibility of implementing a nurse-led verticalization protocol for patients with an f-IABP. Methods: A total of 36 patients with f-IABP successfully verticalized utilizing the Kreg Catalyst™ bed between May 1, 2022, to May 4, 2023, for one hour-long session. The cohort selection required patients to be ambulatory before f-IABP placement, hemodynamically stable, and free of arrhythmias within the last 24 hours. The study carefully monitored hemodynamic stability by comparing baseline averages to peak tolerated angle (PTA) data. Results: A total of 322 verticalization sessions were completed without significant complications and only nine minor complications. Minor complications included five sessions (1.55%), resulting in a catheter readjustment of over 3 centimeters. They averaged 9±7 verticalization sessions per patient, averaging 55±13 minutes. Were19/36 patients (53%) achieved a PTA greater than 70 degrees. Mean arterial pressure decreased by 4±7mmHg. Pulmonary artery systolic pressure decreased by 2±3mmHg, the cardiac index fell by 0.1± 0.5L/min/m 2 , and the heart rate increased by 4±5bpm. Of the 36 patients, 29 (81%) received heart transplants during their hospitalization and had an average post-operative ICU stay of 7 days and a total postoperative hospital stay of 18 days. Of the cohort study, 23 patients (64%) were discharged home with home health, ten patients (27%) were transferred to a rehabilitation center, two patients (5%) were transferred to an outside hospital, and one patient transitioned to comfort care. Conclusions: The result of the study indicates that it is safe and feasible to verticalize patients with f-IABP.

10.1161/circ.148.suppl_1.16986

Cite

Citations (0)