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R Loveridge, S Patel, V Kakar, C Willars, T Hurst, T Best, A Vercueil, J Wendon, G Auzinger
No abstract text is available yet for this article.
December 2015: Intensive Care Medicine Experimental
M Callaghan, Y Doyle, B O'Hare, M Healy, L Nölke
Extra corporeal membrane oxygenation (ECMO) is a form of life support, which facilitates gas exchange outside the body via an oxygenator and a centrifugal pumping system. A paediatric cardiac ECMO programme was established in 2005 at Our Lady's Children's Hospital, Crumlin (OLCHC) and to date 75 patients have received ECMO, the majority being post operative cardiac patients. The outcome data compares favourably with international figures. ECMO has been most successful in the treatment of newborn infants with life threatening respiratory failure from conditions such as meconium aspiration, respiratory distress syndrome and respiratory infections...
September 2013: Irish Medical Journal
Michael Ried, Thomas Bein, Alois Philipp, Thomas Müller, Bernhard Graf, Christof Schmid, David Zonies, Claudius Diez, Hans-Stefan Hofmann
INTRODUCTION: Severe trauma with concomitant chest injury is frequently associated with acute lung failure (ALF). This report summarizes our experience with extracorporeal lung support (ELS) in thoracic trauma patients treated at the University Medical Center Regensburg. METHODS: A retrospective, observational analysis of prospectively collected data (Regensburg ECMO Registry database) was performed for all consecutive trauma patients with acute pulmonary failure requiring ELS during a 10-year interval...
June 20, 2013: Critical Care: the Official Journal of the Critical Care Forum
Michael Wanscher, Lisbeth Agersnap, Jesper Ravn, Stig Yndgaard, Jørgen Feldbæk Nielsen, Else R Danielsen, Christian Hassager, Bertil Romner, Carsten Thomsen, Steen Barnung, Anne Grethe Lorentzen, Hans Høgenhaven, Matthew Davis, Jacob Eifer Møller
BACKGROUND: Resuscitation guidelines for the treatment of accidental hypothermia are based primarily on isolated cases. Mortality rates are high despite aggressive treatment aimed at restoring spontaneous circulation and normothermia. METHODS: The present report is based on a boating accident where 15 healthy subjects (median age 16 (range 15-45) years) were immersed in 2 °C salt water. Seven victims were recovered in circulatory arrest with a median temperature of 18...
September 2012: Resuscitation
Alenka Golicnik, Ivan Knezevic, Marija Racic, Marko Noc, Vojka Gorjup
Extracorporeal life support (ELS) is emerging as a standard treatment option for acute respiratory and/or cardiac failure. In this article we describe our first year of experience with ELS activity in adult medical patients in our center. Veno-venous extracorporeal membrane oxygenation (VV ECMO) support was applied in cases of severe acute respiratory distress syndrome (ARDS) not responsive to conventional treatments. The use of veno-arterial (VA) ECMO support was reserved for cases of cardiac shock refractory to standard treatment and cardiac arrests not responding to conventional resuscitation...
May 2012: International Journal of Artificial Organs
Roberto Roncon-Albuquerque, Carla Basílio, Paulo Figueiredo, Sofia Silva, Paulo Mergulhão, Carlos Alves, Rui Veiga, Salomé Castelo-Branco, Lúcia Paiva, Lurdes Santos, Teresa Honrado, Celeste Dias, Teresa Oliveira, António Sarmento, Ana Maria Mota, José Artur Paiva
BACKGROUND: Technological advances improved the practice of "modern" extracorporeal membrane oxygenation (ECMO). In the present report, we describe the experience of a referral ECMO center using portable miniaturized ECMO systems for H1N1-related severe acute respiratory distress syndrome (ARDS). METHODS: An observational study of all patients with H1N1-associated ARDS treated with ECMO in Hospital S. João (Porto, Portugal) between November 2009 and April 2011 was performed...
October 2012: Journal of Critical Care
Sofie Gevaert, Yves Van Belleghem, Stefaan Bouchez, Ingrid Herck, Filip De Somer, Yasmina De Block, Fiona Tromp, Els Vandecasteele, Floor Martens, Michel De Pauw
INTRODUCTION: Peripartum cardiomyopathy (PPCM) patients refractory to medical therapy and intra-aortic balloon pump (IABP) counterpulsation or in whom weaning from these therapies is impossible, are candidates for a left ventricular assist device (LVAD) as a bridge to recovery or transplant. Continuous-flow LVADs are smaller, have a better long-term durability and are associated with better outcomes. Extra corporeal membrane oxygenation (ECMO) can be used as a temporary support in patients with refractory cardiogenic shock...
2011: Critical Care: the Official Journal of the Critical Care Forum
Matthias Arlt, Alois Philipp, Sabine Voelkel, Daniele Camboni, Leopold Rupprecht, Bernhard-Martin Graf, Christof Schmid, Michael Hilker
OBJECTIVE: Cardiogenic shock is associated with mortality rates up to 70%, even if patients are treated with intensive care support or thrombolytic therapy. Early coronary revascularisation can be life-saving but it is oftentimes not available at the hospital to which the patient was initially taken. Up to now, transferring patients in a state of severe cardiogenic shock and/or cardiopulmonary resuscitation is mostly decided to be impossible. We report on the use of two newly developed minimised systems for hand-held-extracorporeal membrane oxygenation (ECMO) (ELS-System™ and CARDIOHELP™, both from MAQUET Cardiopulmonary AG, Germany), which we have used for rapid extracorporeal life support and interhospital transfer on Mini-ECMO...
September 2011: European Journal of Cardio-thoracic Surgery
Matthias Arlt, Alois Philipp, Markus Zimmermann, Sabine Voelkel, Matthias Amann, Thomas Bein, Thomas Müller, Maik Foltan, Christof Schmid, Bernhard Graf, Michael Hilker
Severe pulmonary and cardiopulmonary failure resistant to critical care treatment leads to hypoxemia and hypoxia-dependent organ failure. New treatment options for cardiopulmonary failure are necessary even for patients in outlying medical facilities. If these patients are in need of specialized center treatment, additional emergency medical service has to be carried out quick and safely. We describe our experiences with a pumpless extracorporeal lung assist (PECLA/iLA) for out-of-center emergency treatment of hypercapnic respiratory failure and the use of a newly developed hand-held extracorporeal membrane oxygenation (ECMO) system in cardiac, pulmonary, and cardiopulmonary failure (EMERGENCY-LIFE Support System, ELS System, MAQUET Cardiopulmonary AG, Hechingen, Germany)...
September 2009: Artificial Organs
N M Habashi, U R Borg, H N Reynolds
Extracorporeal life support (ELS) systems may be run by certified perfusionists, specially trained nurses or respiratory therapy staff. Guidelines for the training, certification and retraining of ELS operators have been established by the Extracorporeal Life Support Organization. Recommendations include "... a well defined program for staff training, certification, and retraining". Some clinicians have suggested that ELS operators be certified and recertified in an animal laboratory. But such practice involves veterinary expenses, animal use issues and considerable clean-up and disposal...
July 1994: International Journal of Artificial Organs
R M Odell, R Erickson, R M McEwan
Extracorporeal membrane oxygenation (ECMO) is a highly specialized technique widely practiced in many hospitals. Despite the proliferation of ECMO, little information has been generated relating to ECMO specialists, a new professional group responsible for managing the extracorporeal life support (ELS) system. A telephone survey of ECMO centers in the United States was conducted to determine the number of ECMO specialists, team composition by profession, and clinical components of ECMO specialist certification...
October 1992: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs
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