{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T07:01:49Z","timestamp":1790060509898,"version":"4.0.1"},"reference-count":19,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T00:00:00Z","timestamp":1787529600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T00:00:00Z","timestamp":1787529600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>This report details the comprehensive, gamified cardiopulmonary rehabilitation of a 6\u2010year\u2010old girl undergoing a complex clinical journey from left ventricular assist device (LVAD) bridge therapy to successful heart transplantation. Given the paucity of standardised protocols for this high\u2010risk population, a structured, multidisciplinary team (MDT)\u2010guided pathway was implemented, adapting interventions to the distinct phases of LVAD support and post\u2010transplant recovery. Key nursing and rehabilitation strategies included initiating very early mobilisation in the cardiac intensive care unit (CICU) with meticulous safety precautions for the LVAD driveline and post\u2010sternotomy incision, implementing a tiered programme of play\u2010based respiratory training games to improve pulmonary function, and guiding the patient through a progressive, gamified exercise regimen encompassing low\u2010intensity aerobic games and combined resistance\u2010aerobic training. Throughout, continuous risk monitoring and dynamic adjustment based on haemodynamic and device\u2010specific parameters were paramount. This individualised, phased approach effectively improved the patient's cardiopulmonary function, muscle strength and exercise tolerance. She was discharged on postoperative Day 44 with a left ventricular ejection fraction of 69%, NYHA Class I cardiac function, grade 5 muscle strength and a 6\u2010min walk distance of 260\u2009m, without rehabilitation\u2010related adverse events. This case demonstrates a feasible and effective model for rehabilitating paediatric patients across the challenging continuum from mechanical circulatory support to heart transplantation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>This case provides a structured, reproducible framework for cardiopulmonary rehabilitation in paediatric patients transitioning from LVAD support to heart transplantation. It emphasises the necessity of phase\u2010adapted interventions, rigorous safety monitoring and the integration of gamification to enhance engagement and outcomes, offering practical guidance for nurses and therapists in this specialised field.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nicc.70657","type":"journal-article","created":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T05:46:07Z","timestamp":1787636767000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Gamified Cardiopulmonary Rehabilitation in a Child Undergoing\n                    <scp>LVAD<\/scp>\n                    Bridging Therapy to Heart Transplantation: A Case Report"],"prefix":"10.1111","volume":"31","author":[{"given":"Xiaomin","family":"Shan","sequence":"first","affiliation":[{"name":"Department of Nursing Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Children and Adolescents' Health and Diseases  Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-8115-4376","authenticated-orcid":false,"given":"Jiajia","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Nursing School of Medicine, Zhejiang University  Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiajia","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Nursing School of Medicine, Zhejiang University  Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaomin","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Children and Adolescents' Health and Diseases  Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-9359-6338","authenticated-orcid":false,"given":"Weihong","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Children and Adolescents' Health and Diseases  Hangzhou 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