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ED ECMO

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62 papers 1000+ followers Collection of papers regarding Emergency Medicine and Prehospital use of ECMO
By Merlin Curry MD, EMT-P
https://www.readbyqxmd.com/read/27357822/clinical-outcomes-after-rescue-extracorporeal-cardiopulmonary-resuscitation-for-out-of-hospital-cardiac-arrest
#1
Tae Sun Ha, Jeong Hoon Yang, Yang Hyun Cho, Chi Ryang Chung, Chi-Min Park, Kyeongman Jeon, Gee Young Suh
AIM: Extracorporeal cardiopulmonary resuscitation (ECPR) has been shown to have survival benefit in patients who had in-hospital cardiac arrest (IHCA). However, limited data are available on the role of extracorporeal membrane oxygenation (ECMO) for out-of-hospital cardiac arrest (OHCA). Therefore, we aimed to investigate clinical outcomes and predictors of in-hospital mortality in patients who had OHCA and who underwent ECPR. METHODS: From January 2004 to December 2013, 235 patients who received ECPR were enrolled in a retrospective, single-centre, observational registry...
June 29, 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/25517890/extracorporeal-life-support-for-severe-acute-respiratory-distress-syndrome
#2
REVIEW
Aleksandra Leligdowicz, Eddy Fan
PURPOSE OF REVIEW: To provide a summary of the recent literature on extracorporeal membrane oxygenation (ECMO) in adults with severe acute respiratory distress syndrome (ARDS), focusing on advances in equipment, current conventional and unconventional indications, complications, and future applications. RECENT FINDINGS: ECMO use has increased during the past 5 years. Advances in cannulation, circuit design, and patient selection have made it a safer therapeutic option in severe ARDS, and its use has become more widespread for nonconventional indications...
February 2015: Current Opinion in Critical Care
https://www.readbyqxmd.com/read/25183569/what-s-new-in-ecmo-scoring-the-bad-indications
#3
REVIEW
Ken Parhar, Alain Vuylsteke
No abstract text is available yet for this article.
November 2014: Intensive Care Medicine
https://www.readbyqxmd.com/read/25218623/prolonged-pulseless-electrical-activity-successful-resuscitation-using-extracorporeal-membrane-oxygenation
#4
Hsi-Wen Huang, Chun-Chieh Chiu, Hsu-Heng Yen, Yao-Li Chen, Fu-Yuan Siao
Pulseless electrical activity (PEA) can rapidly transform into sudden cardiac death, if the etiology cannot be identified and corrected immediately. The clinical challenge is how to resuscitate the patient with prolonged PEA. We present a case of a 51-year-old man with PEA due to acute myocardial infarction caused by total occlusion of the main coronary artery, which was refractory to prolonged conventional cardiopulmonary resuscitation. Extracorporeal membrane oxygenation was initiated approximately 75 minutes after prolonged cardiopulmonary resuscitation; this achieved a sustained return of spontaneous circulation, which permitted adequate time for subsequent coronary intervention...
March 2015: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/25162822/veno-arterial-extracorporeal-membrane-oxygenation-for-adult-cardiovascular-failure
#5
REVIEW
Vincent Pellegrino, Lisen E Hockings, Andrew Davies
PURPOSE OF REVIEW: To examine the utility and technical challenges of applying veno-arterial extracorporeal membrane oxygenation for acute cardiovascular failure in adults with acute and chronic causes of heart failure. RECENT FINDINGS: The role of mechanical circulatory support in acute cardiovascular continues to evolve as technology and clinical experience develop. There is increasing interest in the role of veno-arterial extracorporeal membrane oxygenation as a bridging therapy and as an adjunct to conventional cardiopulmonary resuscitation...
October 2014: Current Opinion in Critical Care
https://www.readbyqxmd.com/read/24158171/neurologic-recovery-from-profound-accidental-hypothermia-after-5-hours-of-cardiopulmonary-resuscitation
#6
Yvonnick Boue, Julien Lavolaine, Pierre Bouzat, Sophie Matraxia, Olivier Chavanon, Jean-François Payen
OBJECTIVE: To describe the successful neurologic recovery from profound accidental hypothermia with cardiac arrest despite the longest reported duration of cardiopulmonary resuscitation. DESIGN: Case report. SETTING: Mountain. PATIENT: A 57-year-old woman experienced profound accidental hypothermia (16.9°C) in a mountainous region of Grenoble. She was unconscious and had extreme bradycardia (6 beats/min) at presentation...
February 2014: Critical Care Medicine
https://www.readbyqxmd.com/read/15640737/successful-management-of-adult-smoke-inhalation-with-extracorporeal-membrane-oxygenation
#7
James T Thompson, Joseph A Molnar, Michael H Hines, Michael C Chang, Thomas Pranikoff
Pulmonary complications remain one of the leading causes of mortality in patients with burns. We report two cases of adult patients with thermal and inhalation injuries who were placed on extracorporeal membrane oxygenation (ECMO) and survived. Patient 1 was a 42-year-old male who suffered 15% TBSA and a severe inhalation injury requiring intubation upon arrival to the emergency department. Patient 2 was a 24-year-old female in a house fire who received 20%TBSA and was noted to be in respiratory distress and intubated on the scene by the paramedic team...
January 2005: Journal of Burn Care & Rehabilitation
https://www.readbyqxmd.com/read/23569552/rewarming-for-accidental-hypothermia-in-an-urban-medical-center-using-extracorporeal-membrane-oxygenation
#8
David Morley, Kentaro Yamane, Rika O'Malley, Nicholas C Cavarocchi, Hitoshi Hirose
BACKGROUND: Accidental hypothermia complicated by cardiac arrest carries a high mortality rate in urban areas. For moderate hypothermia cases conventional rewarming methods are usually adequate, however in severe cases extracorporeal membrane oxygenation (ECMO) is known to provide the most efficient rewarming with complete cardiopulmonary support. We report a case of severe hypothermia complicated by prolonged cardiac arrest successfully resuscitated using ECMO. CASE REPORT: A 45 year old female was brought to our emergency department with a core body temperature <25°C...
2013: American Journal of Case Reports
https://www.readbyqxmd.com/read/24975653/rescue-extracorporeal-membrane-oxygenation-in-a-young-man-with-a-stab-wound-in-the-chest
#9
Giuseppe Gatti, Gabriella Forti, Alessandro Bologna, Gianfranco Sagrati, Gianfranco Gustin, Renata Korcova, Elisabetta Benci, Luca Visintin
A 27-year-old man with haemorrhagic shock and acute cardiac tamponade due to a stab in the chest underwent successful resuscitation and surgical repair of the right ventricular perforation thanks to the use of extracorporeal membrane oxygenation (ECMO) in the emergency department. To the best of the authors' knowledge, this is the first report around the use of ECMO to rescue a victim of a penetrating cardiac trauma. The physicians who have portable ECMO device should be aware of this option when a life-threatening internal bleeding in haemodynamically unstable patients could be quickly controlled by surgery, even if performed in ill-suited settings...
September 2014: Injury
https://www.readbyqxmd.com/read/16322737/duration-of-cardiopulmonary-resuscitation-before-extracorporeal-rescue-how-long-is-not-long-enough
#10
Robert B Kelly, Penny A Porter, Andreas H Meier, John L Myers, Neal J Thomas
Despite the extensive resources required, extracorporeal cardiopulmonary resuscitation (ECPR) has been recognized as an extension of traditional CPR. The reported duration of CPR before ECPR initiation is similar between survivors and nonsurvivors, but the duration of CPR that results in futility of care is unknown. We report two cases of prolonged CPR followed by ECPR resulting in acceptable neurologic outcomes. Ventricular tachycardia developed in a 4-year-old with myocarditis, resulting in a cardiac arrest requiring CPR for 176 minutes before initiation of extracorporeal membrane oxygenation (ECMO)...
September 2005: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs
https://www.readbyqxmd.com/read/21429870/rescue-extracorporeal-membrane-oxygenation-in-children-with-refractory-cardiac-arrest
#11
Eva Maria Delmo Walter, Vladimir Alexi-Meskishvili, Michael Huebler, Matthias Redlin, Wolfgang Boettcher, Yuguo Weng, Felix Berger, Roland Hetzer
We describe our experience with extracorporeal cardiopulmonary resuscitation (CPR) using extracorporeal membrane oxygenation (ECMO) in children with refractory cardiac arrest, and determine predictors for mortality. ECMO support was instituted on 42 children, median age 0.7 years (1 day-17.8 years), median weight 7.05 (range 2.7-80) kg who suffered refractory cardiac arrest (1992-2008). Patients were postcardiotomy (n=27), or had uncorrected congenital heart diseases (n=3), cardiomyopathy (n=3), myocarditis (n=2), respiratory failure (n=3), or had trauma (n=4)...
June 2011: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/17507822/extracorporeal-life-support-to-terminate-refractory-ventricular-tachycardia
#12
Feng-Chun Tsai, Yao-Chang Wang, Yao-Kuang Huang, Chi-Nan Tseng, Meng-Yu Wu, Yu-Sheng Chang, Jaw-Ji Chu, Pyng Jing Lin
OBJECTIVE: Extracorporeal life support (ECLS) has been applied successfully to patients with cardiopulmonary failure in extreme situations. Refractory ventricular tachycardia has high mortality and morbidity rates if not terminated in time. This study describes our preliminary experiences in using ECLS to treat patients with refractory ventricular tachycardia. DESIGN: Retrospective chart review. SETTING: Hospital. PATIENTS: Eleven patients suffering from ventricular tachycardia refractory to antiarrhythmia agents and cardioversion attempts...
July 2007: Critical Care Medicine
https://www.readbyqxmd.com/read/21536364/out-of-hospital-extracorporeal-life-support-for-cardiac-arrest-a-case-report
#13
M Arlt, A Philipp, S Voelkel, B M Graf, C Schmid, M Hilker
We report the use of out-of-hospital extracorporeal life support (ECLS) in cardiac arrest. We treated a 9-year-old girl with cardiac arrest after warm-water drowning with percutaneous venoarterial extracorporeal membrane oxygenation (ECMO) using a new portable Mini-ECMO system. A beating-heart circulation was reestablished on ECMO, but, unfortunately, our patient did not survive. This case shows that Mini-ECMO support can be used to restore an effective circulation and gas exchange in the out-of-hospital setting...
September 2011: Resuscitation
https://www.readbyqxmd.com/read/17417120/successful-use-of-extracorporeal-membrane-oxygenation-in-severe-necrotizing-pneumonia-caused-by-staphylococcus-aureus
#14
Michael H Stroud, Regina Okhuysen-Cawley, Robert Jaquiss, Ariel Berlinski, Richard T Fiser
OBJECTIVE: To report the successful use of extracorporeal membrane oxygenation (ECMO) as rescue therapy for severe necrotizing pneumonia secondary to infection by the Staphylococcus aureus species. DESIGN: Case series. SETTING: Pediatric intensive care unit at a freestanding tertiary care children's hospital. PATIENTS: Two pediatric patients with severe S. aureus-induced necrotizing pneumonia requiring rescue with ECMO...
May 2007: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/23225509/extracorporeal-membrane-oxygenation-for-influenza-associated-acute-respiratory-distress-syndrome
#15
Nestoras Papadopoulos, Ali El-Sayed Ahmad, Spiros Marinos, Anton Moritz, Andreas Zierer
BACKGROUND: Extracorporeal membrane oxygenation (ECMO) therapy for patients with influenza A (H1N1)-related acute respiratory distress syndrome (ARDS) has been described once all other therapeutic options have been exhausted. The current report reviews our institutional experience and lessons learned in 18 consecutive patients. METHODS: Between December 2009 and March 2011, 18 patients underwent ECMO therapy for severe H1N1-related ARDS. Mean age was 40 ± 18 years (range 4-67 years)...
September 2013: Thoracic and Cardiovascular Surgeon
https://www.readbyqxmd.com/read/15867784/cost-utility-analysis-of-salvage-cardiac-extracorporeal-membrane-oxygenation-in-children
#16
William T Mahle, Joseph M Forbess, Paul M Kirshbom, Angel R Cuadrado, Janet M Simsic, Kirk R Kanter
BACKGROUND: Indications for extracorporeal membrane oxygenation therapy have expanded to include cardiopulmonary arrest and support after congenital heart surgery. Data from a national registry have reported that cardiac patients have the poorest survival of all extracorporeal membrane oxygenation recipients. Concerns have been raised about the appropriateness of such an aggressive strategy, especially in light of the high costs and potential for long-term neurologic disability. We reviewed our experience with salvage cardiac extracorporeal membrane oxygenation to determine the cost-utility, which accounts for both costs and quality of life...
May 2005: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/17903513/survival-outcomes-after-rescue-extracorporeal-cardiopulmonary-resuscitation-in-pediatric-patients-with-refractory-cardiac-arrest
#17
Bahaaldin Alsoufi, Osman O Al-Radi, Rakan I Nazer, Colleen Gruenwald, Celeste Foreman, William G Williams, John G Coles, Christopher A Caldarone, Desmond G Bohn, Glen S Van Arsdell
OBJECTIVES: We report our experience with extracorporeal cardiopulmonary resuscitation with extracorporeal membrane oxygenation in children having cardiac arrest refractory to conventional cardiopulmonary resuscitation and explore predictors for favorable outcome (survival with grossly intact neurologic status). METHODS: We reviewed all patients who required extracorporeal cardiopulmonary resuscitation from 2000 to 2005. Multivariable regression analysis determined factors associated with favorable outcome and time-related survival...
October 2007: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/22643323/pediatric-outcomes-after-extracorporeal-membrane-oxygenation-for-cardiac-disease-and-for-cardiac-arrest-a-review
#18
REVIEW
Ari R Joffe, Laurance Lequier, Charlene M T Robertson
We reviewed reported survival and neurological outcomes, and predictors of these outcomes for pediatric cardiac extracorporeal membrane oxygenation (ECMO) and extracorporeal cardiopulmonary resuscitation (ECPR). We searched PubMed from 2000 to April 2011. Cumulative survival after cardiac ECMO in children was 788/1755 (45%); renal dysfunction, dialysis, neurologic complication, lactate, and ECMO duration consistently predicted this outcome, whereas single ventricle and ECPR did not. Neurological outcomes after cardiac ECMO were based on poorly described telephone questions in two studies for 47 patients with 51% significantly impaired and detailed follow-up testing for 42 patients in three studies with mental delay in 38% and mental score >85 (average or above) in 33%...
July 2012: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs
https://www.readbyqxmd.com/read/23735986/pediatric-extracorporeal-life-support-in-specialized-situations
#19
REVIEW
V Ben Sivarajan, Mel C Almodovar, Mark D Rodefeld, Peter C Laussen
OBJECTIVES: The purpose of this review was to provide a systematic review of the literature regarding the use of extracorporeal life support (ECLS) in various specialized conditions, as part of the Pediatric Cardiac Intensive Care Society/Extracorporeal Life Support Organization Joint Statement on Mechanical Circulatory Support. DATA SOURCES: MEDLINE and PubMed. STUDY SELECTION: Searches for published abstracts and articles were conducted using the following MeSH terms: extracorporeal life support, extracorporeal membrane oxygenation, or mechanical support, and pediatric or children...
June 2013: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/23608259/bridge-to-transplant-with-extracorporeal-membrane-oxygenation-followed-by-heartware-ventricular-assist-device-in-a-child
#20
Kelly A Crews, Samantha L Kaiser, Richard J Walczak, Robert D B Jaquiss, Andrew J Lodge
A 10-year-old boy was admitted with dilated cardiomyopathy. Before scheduled implantation of a HeartWare ventricular assist device, he experienced a cardiac arrest and required extracorporeal membrane oxygenation for both cardiac and pulmonary support. After 4 days of extracorporeal membrane oxygenation and 126 days of support on the HeartWare ventricular assist device, he underwent successful cardiac transplantation. He is doing well 6 months after transplantation.
May 2013: Annals of Thoracic Surgery
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