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Paolo Meani, Thijs Delnoij, Giuseppe M Raffa, Nuccia Morici, Giovanna Viola, Alice Sacco, Fabrizio Oliva, Sam Heuts, Jan-Willem Sels, Rob Driessen, Paul Roekaerts, Martijn Gilbers, Elham Bidar, Rick Schreurs, Ehsan Natour, Leo Veenstra, Suzanne Kats, Jos Maessen, Roberto Lorusso
BACKGROUND: Left ventricular (LV) afterload increase with protracted aortic valve (AV) closure may represent a complication of veno-arterial extracorporeal membrane oxygenation (V-A ECMO). The aim of the present study was to assess the effects of an intra-aortic balloon pump (IABP) to overcome such a hemodynamic shortcoming in patients submitted to peripheral V-A ECMO. METHODS: Among 184 adult patients who were treated with peripheral V-A ECMO support at Medical University Center Maastricht Hospital between 2007 and 2018, patients submitted to IABP implant for protracted AV closure after V-A ECMO implant were retrospectively identified...
July 1, 2018: Perfusion
Thomas Datzmann, Karl Träger
No abstract text is available yet for this article.
June 2018: Journal of Thoracic Disease
Christoph Fisser, Maximilian Valentin Malfertheiner
No abstract text is available yet for this article.
June 2018: Journal of Thoracic Disease
Abhilasha Ahuja, Kiran Shekar
No abstract text is available yet for this article.
June 2018: Journal of Thoracic Disease
Riccardo De Carlis, Stefano Di Sandro, Andrea Lauterio, Francesca Botta, Fabio Ferla, Enzo Andorno, Vincenzo Bagnardi, Luciano De Carlis
Donors after cardiac death in Italy constitute a relatively unique population, because of the requirement of a no-touch period of 20 min. The first aim of this study was to compare liver transplants from donors who were maintained on normothermic regional perfusion after cardiac death and suffered extended warm ischemia (DCD-group, n=20) to those from donors who were maintained on extracorporeal membrane oxygenation and succumbed to brain death (ECMO-group, n=17) and those from standard donors after brain death (DBD-group, n=52)...
July 19, 2018: Liver Transplantation
Sarah J Phipps, Jason G Meisner, David E Watton, Gemma A Malpas, Orlando R Hung
Tracheal extubation requires careful planning and preparation. We present the extubation of a patient with severe ankylosing spondylitis after cervical spine surgery. We discuss the use of extracorporeal membrane oxygenation (ECMO) in this "at-risk" extubation, where our ability to oxygenate was uncertain and reintubation was predicted to be difficult. To our knowledge, ECMO has not previously been used in this context. We suggest preparing ECMO for rescue oxygenation when all other fundamental oxygenation techniques are predicted to be difficult or impossible...
July 16, 2018: A&A practice
Jeffrey J Cies, Wayne S Moore, Nadji Giliam, Tracy Low, Adela Enache, Arun Chopra
BACKGROUND: The objective was to determine the alterations of daptomycin (DAP) in a contemporary neonatal/pediatric (1/4-inch) and adolescent/adult (3/8-inch) extracorporeal membrane oxygenation (ECMO) circuit including the Quadrox-i® oxygenator. METHODS: Quarter-inch and 3/8-inch, simulated, closed-loop, ECMO circuits were prepared with a Quadrox-i pediatric and Quadrox-i adult oxygenator and blood primed. A one-time dose of DAP was administered into the circuit and serial pre- and post-oxygenator concentrations were obtained at 0-5 minutes and 1, 2, 3, 4, 5, 6 and 24-hour time points...
June 1, 2018: Perfusion
M Weis, S Hoffmann, C Henzler, C Weiss, S O Schoenberg, R Schaffelder, T Schaible, K W Neff
PURPOSE: To evaluate liver-herniation as individual parameter on outcome in children with congenital diaphragmatic hernia. MATERIALS AND METHODS: In a retrospective matched-pair analysis based on observed to expected fetal lung volume (o/e FLV), birth weight, gestational age at time-point of examination, status of tracheal occlusion therapy and side of the defect the individual impact of liver-herniation on survival, need for extracorporeal membrane oxygenation (ECMO) therapy and chronic lung disease (CLD) was investigated...
August 2018: European Journal of Radiology
Virginie Fouilloux, Célia Gran, Christophe Guervilly, Jean Breaud, Fedoua El Louali, Pierre Rostini
INTRODUCTION: Medical and para-medical education is one of the key points of healthcare strategy. Training and education based on high-fidelity simulation is one of the gold standards in modern healthcare institutions. We describe a model of training dedicated to ICU nurses in charge of patients with ECMO. The aim of our educational tool was to teach ICU nurses ECMO basic knowledge and skills. METHODS: An ECMO Specialist Course Committee implemented the training programme...
July 1, 2018: Perfusion
Hanneke IJsselstijn, Maayke Hunfeld, Raisa M Schiller, Robert J Houmes, Aparna Hoskote, Dick Tibboel, Arno F J van Heijst
Since the introduction of extracorporeal membrane oxygenation (ECMO), more neonates and children with cardiorespiratory failure survive. Interest has therefore shifted from reduction of mortality toward evaluation of long-term outcomes and prevention of morbidity. This review addresses the changes in ECMO population and the ECMO-treatment that may affect long-term outcomes, the diagnostic modalities to evaluate neurological morbidities and their contributions to prognostication of long-term outcomes. Most follow-up data have only become available from observational follow-up programs in neonatal ECMO-survivors...
2018: Frontiers in Pediatrics
Raheel Rizwan, Farhan Zafar, Clifford Chin, James Tweddell, Roosevelt Bryant, David Morales
BACKGROUND: Infants awaiting heart transplantation (HTx) have the highest waitlist mortality compared to other HTx patients. This study analyzed the impact of weight and other factors on waitlist and post-HTx outcomes in infants. METHODS: All infants on HTx waitlist in the United Network for Organ Sharing database from October 1987-June 2016 were divided into weight groups: <2.5Kg, 2.5-3.9Kg and >4Kg. Survival from listing regardless of transplant was compared using Kaplan-Meier analysis...
July 12, 2018: Annals of Thoracic Surgery
Rasha Al-Bawardy, Kenneth Rosenfield, Jorge Borges, Michael N Young, Mazen Albaghdadi, Rachel Rosovsky, Christopher Kabrhel
BACKGROUND: Extracorporeal membrane oxygenation (ECMO) has been used to stabilize patients with massive pulmonary embolism though few reports describe this approach. We describe the presentation, management and outcomes of patients who received ECMO for massive pulmonary embolism (PE) in our pulmonary embolism response team (PERT) registry. METHODS: We enrolled a consecutive cohort of patients with confirmed PE for whom PERT was activated and selected patients treated with ECMO...
July 1, 2018: Perfusion
Shinichiro Ohshimo, Nobuaki Shime, Satoshi Nakagawa, Osamu Nishida, Shinhiro Takeda
Background: Since the 2009 pandemic influenza, we have nationally established a committee of the extracorporeal membrane oxygenation (ECMO) project. This project involves adequate respiratory management for severe respiratory failure using ECMO. This study aimed to investigate the correlations between changes in respiratory management using ECMO in Japan and outcomes of patients with influenza-associated acute respiratory failure between 2009 and 2016. Methods: We investigated the incidence, severity, characteristics, and prognosis of influenza-associated acute respiratory failure in 2016 by web-based surveillance...
2018: Journal of Intensive Care
Amy G Fiedler, Adam Dalia, Andrea L Axtell, Jamel Ortoleva, Sunu M Thomas, Nathalie Roy, Mauricio A Villavicencio, David A D'Alessandro, Gaston Cudemus
OBJECTIVE: At the authors' institution, before 2015, patients cannulated for peripheral venoarterial extracorporeal membrane oxygenation (VA-ECMO) did not undergo left ventricular (LV) decompression with the use of an LV vent. After 2015, the authors' institution began using the Impella device to vent the left ventricle in patients on VA-ECMO. The authors hypothesized that survival outcomes would improve in patients on VA-ECMO with the use of an Impella for LV venting. DESIGN: Retrospective, chart based review study...
July 12, 2018: Journal of Cardiothoracic and Vascular Anesthesia
Christopher J Tignanelli, Allison Weinberg, Lena M Napolitano
Ambulation while on extracorporeal membrane oxygenation (ECMO) is critical to facilitate native pulmonary recovery for patients with acute respiratory failure and is a prerequisite for listing for lung transplantation to achieve optimal outcomes. The development of a bicaval dual-lumen cannula capable of providing venovenous (VV) ECMO support via the internal jugular vein has greatly facilitated ambulation and rehabilitation programs. But cannula dislodgement is a serious concern with ambulation and rehabilitation, especially when minor cannula migration can significantly impact VV-ECMO flow...
July 12, 2018: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs
Johanna Nordmark Grass, Johan Ahlner, Fredrik C Kugelberg, Johanna Steinwall, Pär Forsman, Erik Lindeman
No abstract text is available yet for this article.
July 13, 2018: Clinical Toxicology
Tobias Wengenmayer, Daniel Duerschmied, Erika Graf, Marco Chiabudini, Christoph Benk, Sven Mühlschlegel, Alois Philipp, Matthias Lubnow, Christoph Bode, Dawid Leander Staudacher
AIMS: Several scoring systems have been introduced for prognostication after initiating venoarterial extracorporeal membrane oxygenation (VA-ECMO) therapy. However, static scores offer limited guidance once VA-ECMO is implanted, although continued allocation of healthcare resources is critical. Patients requiring continued VA-ECMO support are extremely unstable, with minimal heart function and multi-organ failure in most cases. The aim of the present study was to develop and validate a dynamic prognostic model for patients treated with VA-ECMO...
July 1, 2018: European Heart Journal. Acute Cardiovascular Care
Dhaval Pau, Jan Kasal, Michael Plisco
No abstract text is available yet for this article.
July 12, 2018: Intensive Care Medicine
Love Ahlström, Michal Odermarsky, Torsten Malm, Jens Johansson Ramgren, Petru Liuba
In transposition of the great arteries (TGA), certain coronary patterns have been associated with major adverse events early after the arterial switch operation (ASO). We sought to determine the impact of preoperative echocardiographic (ECHO) diagnosis on the intra- and postoperative morbidity. All patients with TGA born between June 2001 and June 2017 and who underwent ASO were reviewed. Data on presumed coronary anatomy (CA) preoperatively were obtained from the preoperative ECHO report. Intraoperative CA was categorized according to Yacoub classification...
July 12, 2018: Pediatric Cardiology
W Q Yu, M D Ding, G H Dai, C J Gu, L Xue, Y Chen, D M Zhou, J C Xian, H T Xu
Objective: To describe the clinical, chest imaging, pathological manifestations and therapeutic experience of human infection with A/H7N9 virus. Methods: The features of 15 laboratory-confirmed cases of human infection with A/H7N9 virus in Taizhou, Jiangsu Province were retrospectively analyzed. Results: The 15 patients with confirmed viral pneumonia included 12 males and 3 females, with a median age of 61 years(ranging from 33 to 81 years). Twelve patients had a history of exposure to the poultry trading places, or direct contact with ill/dead avian, while 3 patients denied exposure or contact...
July 12, 2018: Chinese Journal of Tuberculosis and Respiratory Diseases
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