Early Rehabilitation in Patients on Extracorporeal Membrane Oxygenation

Inclusion Criteria:

1. Patient is on ECMO and expected to remain on ECMO for at least 24 hours

2. Patient is aged 18 years or older.

3. Patient was functionally independent prior to the current admission.

4. Patient is eligible for Medicare (Australian sites only).

Exclusion Criteria:

1. Patient has been receiving ECMO for more than 72 hours.

2. Patient has been in ICU for more than 5 days.

3. Patient has suspected or proven primary myopathic or neurological process associatedwith prolonged weakness or acute brain injury.

4. Death is deemed imminent by the treating clinician.

5. Patient has a documented medical diagnosis of cognitive impairment e.g. dementia.

6. Patient was unable to mobilise prior to this admission.

7. Patient is unable to communicate in local language.

8. Patient is known to be pregnant.

9. Patient is unlikely to be contactable for 6 months follow-up, e.g. overseasresident, incarcerated

10. The treating clinician does not believe it is in the best interests of the patientto participate in the study

11. Patient who has a bidirectional cannula in situ