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ECMO

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https://www.readbyqxmd.com/read/30504514/outcomes-of-extracorporeal-membrane-oxygenation-support-for-complex-high-risk-elective-percutaneous-coronary-interventions-a-single-center-experience-and-review-of-the-literature
#1
Arslan Shaukat, Katarzyna Hryniewicz-Czeneszew, Benjamin Sun, Karol Mudy, Kelly Wilson, Peter Tajti, Larissa Stanberry, Ross Garberich, Yader Sandoval, M Nicholas Burke, Ivan Chavez, Mario Gössl, Timothy Henry, Daniel Lips, Michael Mooney, Anil Poulose, Paul Sorajja, Jay Traverse, Yale Wang, Steven Bradley, Emmanouil S Brilakis
OBJECTIVES: Venoarterial extracorporeal membrane oxygenation (VA-ECMO) is most commonly used in patients with cardiac arrest and cardiogenic shock. There are limited data on the use of VA-ECMO for elective, high-risk percutaneous coronary intervention (PCI). We examined the in-hospital and mid-term clinical outcomes in patients undergoing complex, high-risk PCI with VA-ECMO support. METHODS: . We conducted a retrospective review of ECMO-supported elective high-risk PCIs performed at our institution between May 2012 and May 2017...
December 2018: Journal of Invasive Cardiology
https://www.readbyqxmd.com/read/30505489/impact-of-cannula-design-on-packed-red-blood-cell-transfusions-technical-advancement-to-improve-outcomes-in-extracorporeal-membrane-oxygenation
#2
Gennaro Martucci, Giovanna Panarello, Giovanna Occhipinti, Giuseppe Raffa, Fabio Tuzzolino, Guido Capitanio, Tiziana Carollo, Giovanni Lino, Alessandro Bertani, Patrizio Vitulo, Michele Pilato, Roberto Lorusso, Antonio Arcadipane
Background: Technological improvement has contributed to making veno-venous extracorporeal membrane oxygenation (VV-ECMO) safer and easier, spreading its use in acute respiratory failure (ARF). Methods: This is a retrospective observational study carried out in the ECMO center at IRCCS-ISMETT, a medical center focused on end-stage organ failure treatment in Italy. We investigated the effect of different cannula designs on the amount of blood product transfused. Eighty-nine consecutive patients affected with ARF on VV-ECMO from 2008 to 2016 were compared according to type of cannulation: older percutaneous cannula (Standard group, 52 patients) and HLS© BIOLINE-coated, but with shorter drainage cannula (BIOLINE group, 37 patients)...
October 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/30508528/ambulation-with-femoral-arterial-cannulation-can-be-safely-performed-on-veno-arterial-extracorporeal-membrane-oxygenation
#3
Chetan Pasrija, Kristen M Mackowick, Maxwell Raithel, Douglas Tran, Francesca M Boulos, Kristopher B Deatrick, Michael A Mazzeffi, Raymond Rector, Si M Pham, Bartley P Griffith, Zachary N Kon
BACKGROUND: Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) support can be associated with significant deconditioning due to the requirement for strict bedrest as a result of femoral arterial cannulation. In order to address this issue, we evaluated our experience with ambulation in patients with peripheral femoral cannulation for VA-ECMO. METHODS: All patients that were peripherally cannulated for VA-ECMO over a two year period were retrospectively reviewed...
November 30, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/30430207/percutaneous-versus-surgical-femoro-femoral-veno-arterial-ecmo-a-propensity-score-matched-study
#4
Pichoy Danial, David Hajage, Lee S Nguyen, Ciro Mastroianni, Pierre Demondion, Matthieu Schmidt, Adrien Bouglé, Julien Amour, Pascal Leprince, Alain Combes, Guillaume Lebreton
PURPOSE: Femoral artery surgical cannulation is the reference for venoarterial extracorporeal membrane oxygenation (VA-ECMO) in adults. However, the less invasive percutaneous approach has been associated with lower rates of complications. This retrospective study compared complication rates and overall survival in a large series of patients who received surgical or percutaneous peripheral VA-ECMO. METHODS: All consecutive patients implanted with VA-ECMO between January 2015 and December 2017 in a high ECMO-volume university hospital were included...
November 14, 2018: Intensive Care Medicine
https://www.readbyqxmd.com/read/30482406/the-use-of-ecmo-in-icu-recommendations-of-the-spanish-society-of-critical-care-medicine-and-coronary-units
#5
E Fernández-Mondéjar, M P Fuset-Cabanes, T Grau-Carmona, M López-Sánchez, Ó Peñuelas, J L Pérez-Vela, J M Pérez-Villares, J J Rubio-Muñoz, M Solla-Buceta
The use of extracorporeal membrane oxygenation systems has increased significantly in recent years; given this reality, the Spanish Society of Critical Intensive Care Medicine and Coronary Units (SEMICYUC) has decided to draw up a series of recommendations that serve as a framework for the use of this technique in intensive care units. The three most frequent areas of extracorporeal membrane oxygenation systems use in our setting are: as a cardiocirculatory support, as a respiratory support and for the maintenance of the abdominal organs in donors...
November 24, 2018: Medicina Intensiva
https://www.readbyqxmd.com/read/30484429/extracorporeal-carbon-dioxide-removal-for-lowering-the-risk-of-mechanical-ventilation-research-questions-and-clinical-potential-for-the-future
#6
REVIEW
Andrew J Boyle, Michael C Sklar, James J McNamee, Daniel Brodie, Arthur S Slutsky, Laurent Brochard, Daniel F McAuley
As a result of technical improvements, extracorporeal carbon dioxide removal (ECCO2 R) now has the potential to play an important role in the management of adults with acute respiratory failure. There is growing interest in the use of ECCO2 R for the management of both hypoxaemic and hypercapnic respiratory failure. However, evidence to support its use is scarce and several questions remain about the best way to implement this therapy, which can be associated with serious side-effects. This Review reflects the consensus opinion of an international group of clinician scientists with expertise in managing acute respiratory failure and in using ECCO2 R therapies in this setting...
November 2018: Lancet Respiratory Medicine
https://www.readbyqxmd.com/read/30485466/short-term-outcomes-of-intra-aortic-balloon-pump-combined-with-venoarterial-extracorporeal-membrane-oxygenation-a-systematic-review-and-meta-analysis
#7
Li Wang, Zhen Xing
OBJECTIVE: The effectiveness of intra-aortic balloon pump (IABP) combined with venoarterial extracorporeal membrane oxygenation (VA-ECMO) in patients with cardiogenic shock or cardiac arrest remains controversial. The aim of this systematic review and meta-analysis was to investigate the short-term clinical outcomes of IABP combined with VA-ECMO versus VA-ECMO alone. METHODS: We searched PubMed, Embase, and the Cochrane Library for English articles published from inception to August 18, 2018...
November 28, 2018: Artificial Organs
https://www.readbyqxmd.com/read/30445489/predictors-of-mid-term-outcomes-in-patients-undergoing-implantation-of-a-ventricular-assist-device-directly-after-extracorporeal-life-support
#8
Dmytro Tsyganenko, Tom Wolfgang Gromann, Felix Schoenrath, Marcus Mueller, Johanna Mulzer, Christoph Starck, Thomas Krabatsch, Julia Stein, Volkmar Falk, Evgenij Potapov
OBJECTIVES: Extracorporeal life support (ECLS) can be applied as a bridge to diagnosis and decision-making for further treatment with long-term left ventricular assist devices (LVADs). METHODS: From January 2012 to January 2018, 714 adult patients were treated with ECLS in our institution. During the same period, 618 patients received an LVAD for long-term support. Of them, 100 patients were further supported with a long-term LVAD. We retrospectively analysed the datasets of these 100 consecutive patients with the goal of developing an algorithm to predict outcomes for a rational use of long-term ventricular assist device therapy in this setting...
November 15, 2018: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/30455142/the-evolving-role-of-extracorporeal-membrane-oxygenation-in-lung-transplantation-implications-for-anesthetic-management
#9
REVIEW
Jacobo Moreno Garijo, Marcelo Cypel, Karen McRae, Tiago Machuca, Valerie Cunningham, Peter Slinger
Lung transplantation has become an accepted therapy for most causes of end-stage lung disease. Between 30 to 50% of lung transplants require extracorporeal life support (ECLS). In many lung transplantation centers, extracorporeal membrane oxygenation (ECMO) is replacing cardiopulmonary bypass (CPB) as the primary choice for intraoperative ECLS. This review will discuss the evolving role of ECMO in lung transplantation and its implications for anesthetic management.
October 10, 2018: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/30460260/mechanical-ventilation-and-respiratory-monitoring-during-extracorporeal-membrane-oxygenation-for-respiratory-support
#10
REVIEW
Nicolò Patroniti, Giulia Bonatti, Tarek Senussi, Chiara Robba
Over the past decade, the use of veno-venous extracorporeal membrane oxygenation (VV-ECMO) for respiratory support has widely expanded as a treatment strategy for patients with acute respiratory distress syndrome (ARDS). Despite considerable attention has been given to the indications, the timing and the management of patients undergoing ECMO for refractory respiratory hypoxemic failure, little is known regarding the management of mechanical ventilation (MV) in this group of patients. ECMO enables to minimize ventilatory induced lung injury (VILI) and it has been successfully used as rescue therapy in patients with ARDS when conventional ventilator strategies have failed...
October 2018: Annals of Translational Medicine
https://www.readbyqxmd.com/read/30447774/bridging-to-lung-transplantation
#11
REVIEW
Aladdein Mattar, Subhasis Chatterjee, Gabriel Loor
Lung transplantation is the gold standard for treating patients with end-stage lung disease. Such patients can present with severe illness on the waitlist and may deteriorate before a lung donor is available. Bridging strategies with extracorporeal membrane oxygenation (ECMO) are valuable for getting patients to transplant and provide a chance at survival. The current article describes the indications, contraindications, and techniques involved in bridging to lung transplantation with ECMO.
January 2019: Critical Care Clinics
https://www.readbyqxmd.com/read/30397903/energy-expenditure-of-patients-on-ecmo-a-prospective-pilot-study
#12
Elisabeth De Waele, Joop Jonckheer, Joeri J Pen, Joy Demol, Kurt Staessens, Luc Puis, Mark La Meir, Patrick M Honoré, Manu L N G Malbrain, Herbert D Spapen
BACKGROUND: An optimal nutritional approach sustained by convenient monitoring of metabolic status and reliable assessment of energy expenditure (EE) may improve the outcome of critically ill patients on extracorporeal membrane oxygenation (ECMO). We previously demonstrated the feasibility of indirect calorimetry (IC)-the standard of care technique to determine caloric targets-in patients undergoing ECMO. This study aims to compare measured with calculated EE during ECMO treatment. We additionally provide median EE values for use in settings where IC is not available...
November 6, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30398981/large-dual-lumen-extracorporeal-membrane-oxygenation-cannulas-are-associated-with-more-intracranial-hemorrhage
#13
Michael Mazzeffi, Zachary Kon, Jay Menaker, Daniel M Johnson, Orlando Parise, Sandro Gelsomino, Roberto Lorusso, Daniel Herr
Large dual-lumen veno-venous (VV) extracorporeal membrane oxygenation (ECMO) cannulas may increase venous pressure in the brain, contributing to intracranial hemorrhage (ICH). A retrospective cohort study was performed using the extracorporeal life support organization (ELSO) registry. Propensity score matching was used to control for confounding. The rate of ICH and rates of hemolysis, cannula complications, and mortality were compared between patients with a 27 French dual-lumen cannula and patients with a 31 French dual-lumen cannula...
November 5, 2018: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs
https://www.readbyqxmd.com/read/30343699/venoarterial-extracorporeal-membrane-oxygenation-for-postcardiotomy-shock-risk-factors-for-mortality
#14
Thomas Fux, Manne Holm, Matthias Corbascio, Lars H Lund, Jan van der Linden
OBJECTIVES: Refractory postcardiotomy cardiogenic shock is associated with a high mortality, and venoarterial extracorporeal membrane oxygenation can offer acute cardiopulmonary life support. The aim of this study was to identify pre-venoarterial extracorporeal membrane oxygenation risk factors of 90-day mortality. METHODS: We retrospectively analyzed 105 consecutive patients supported with venoarterial extracorporeal membrane oxygenation due to refractory postcardiotomy cardiogenic shock...
November 2018: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/30365965/extracorporeal-life-support-for-refractory-cardiac-arrest-a-10-year-comparative-analysis
#15
Matteo Pozzi, Xavier Armoiry, Felix Achana, Catherine Koffel, Isabelle Pavlakovic, Flavie Lavigne, Jean Luc Fellahi, Jean Francois Obadia
BACKGROUND: Cardiopulmonary resuscitation of cardiac arrest displays poor outcomes. Extracorporeal life support (ECLS) could represent a salvage option. We aimed to analyze the outcomes of ECLS used for refractory cardiac arrest. METHODS: We undertook an observational analysis. Patients were divided into an in-hospital (IHCA) and an out-of-hospital (OHCA) cardiac arrest group. The primary endpoint was survival to hospital discharge with good neurological outcome...
October 23, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/30346032/concurrent-implantation-of-intra-aortic-balloon-pump-and-extracorporeal-membrane-oxygenation-improved-survival-of-patients-with-postcardiotomy-cardiogenic-shock
#16
Kai Chen, Jianfeng Hou, Hanwei Tang, Shengshou Hu
The aim of this study is to report the combined application of extracorporeal membrane oxygenation (ECMO) with intra-aortic balloon pumping (IABP) in postcardiotomy cardiac shock (PCS). A total of 60 consecutive patients who received both ECMO and IABP (concomitantly 24 hours) for PCS from February 2006 to March 2017 at Fuwai Hospital were included in our study. Clinical characteristics of the patients were collected retrospectively and compared between survivors and non-survivors. Logistic regression analysis was used as predictors for survival to discharge...
October 22, 2018: Artificial Organs
https://www.readbyqxmd.com/read/30340447/extracorporeal-membrane-oxygenation-simulation-based-training-methods-drawbacks-and-a-novel-solution
#17
Mohammed Al Disi, Abdullah Alsalemi, Yahya Alhomsi, Fayçal Bensaali, Abbes Amira, Guillaume Alinier
Patients under the error-prone and complication-burdened extracorporeal membrane oxygenation (ECMO) are looked after by a highly trained, multidisciplinary team. Simulation-based training (SBT) affords ECMO centers the opportunity to equip practitioners with the technical dexterity required to manage emergencies. The aim of this article is to review ECMO SBT activities and technology followed by a novel solution to current challenges. ECMO simulation: The commonly-used simulation approach is easy-to-build as it requires a functioning ECMO machine and an altered circuit...
October 19, 2018: Perfusion
https://www.readbyqxmd.com/read/30321624/an-integrated-program-of-extracorporeal-membrane-oxygenation-ecmo-assisted-cardiopulmonary-resuscitation-and-uncontrolled-donation-after-circulatory-determination-of-death-in-refractory-cardiac-arrest
#18
Roberto Roncon-Albuquerque, Sérgio Gaião, Paulo Figueiredo, Nuno Príncipe, Carla Basílio, Paulo Mergulhão, Sofia Silva, Teresa Honrado, Francisco Cruz, Manuel Pestana, Gerardo Oliveira, Luis Meira, Ana França, João Paulo Almeida-Sousa, Fernando Araújo, José-Artur Paiva
AIM: To assess the feasibility of an integrated program of extracorporeal cardiopulmonary resuscitation (ECPR) and uncontrolled donation after circulatory determination of death (uDCDD) in refractory cardiac arrest (rCA). METHODS: Single center, prospective, observational study of selected patients with in-hospital (IHCA) and out-of-hospital (OHCA) rCA occurring in an urban area of ∼1.5 million inhabitants, between October-2016 and May-2018. 65 year old or younger patients without significant bleeding or comorbidities with witnessed nonasystolic cardiac arrests were triaged to ECPR if they had a reversible cause and high quality CPR lasting < 60 min...
October 13, 2018: Resuscitation
https://www.readbyqxmd.com/read/30320417/nutrition-support-in-adult-patients-receiving-extracorporeal-membrane-oxygenation
#19
REVIEW
Danielle E Bear, Elizabeth Smith, Nicholas A Barrett
The use of extracorporeal membrane oxygenation (ECMO) for both severe respiratory and cardiac failure is increasing. Because these patients are some of the sickest in the intensive care unit, a multidisciplinary approach to their treatment, including appropriate nutrition therapy, is warranted. Currently, limited data exist on the optimal timing, type, and amount of nutrition to be provided. This review focuses on describing the current nutrition practices in patients receiving ECMO, details research that is currently being undertaken, and lists important research questions that require exploration in this field...
December 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/30312616/a-single-center-experience-of-900-inter-hospital-transports-on-extracorporeal-membrane-oxygenation-commentary
#20
Nicholas R Teman
No abstract text is available yet for this article.
October 9, 2018: Annals of Thoracic Surgery
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