Hemodynamic monitoring in patients with venoarterial extracorporeal membrane oxygenation
Ying Su,Kai Liu,Ji-Li Zheng,Xin Li,Du-ming Zhu,Ying Zhang,Yi-Jie Zhang,Chunsheng Wang,Tian-Tian Shi,Zhe Luo,Guo-Wei Tu +10 more
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TLDR
An overview of VA- ECMO pathophysiology, and the current state of the art in hemodynamic monitoring in patients with VA-ECMO is provided.Abstract:
Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) is an effective mechanical circulatory support modality that rapidly restores systemic perfusion for circulatory failure in patients. Given the huge increase in VA-ECMO use, its optimal management depends on continuous and discrete hemodynamic monitoring. This article provides an overview of VA-ECMO pathophysiology, and the current state of the art in hemodynamic monitoring in patients with VA-ECMO.read more
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Narrative Review of Neurologic Complications in Adults on ECMO: Prevalence, Risks, Outcomes, and Prevention Strategies.
TL;DR: In this article, the authors highlight the prevalence and outcomes, risk factors, current monitoring technologies, prevention, and treatment of neurologic complications in adult patients undergoing extracorporeal membrane oxygenation (ECMO).
Journal ArticleDOI
Trendelenburg maneuver predicts fluid responsiveness in patients on veno-arterial extracorporeal membrane oxygenation.
Jing-Chao Luo,Ying Su,Li-li Dong,Jun-Yi Hou,Xin Li,Ying Zhang,Guo-Guang Ma,Ji-Li Zheng,Guang-Wei Hao,Huan Wang,Yi-Jie Zhang,Zhe Luo,Guo-Wei Tu +12 more
TL;DR: In this paper, the authors investigated whether changes in left ventricular outflow tract velocity-time integral (ΔVTI), induced by a Trendelenburg maneuver, could predict fluid responsiveness during VA-ECMO.
Journal ArticleDOI
Documento de consenso SEDAR/SECCE sobre el manejo de ECMO
I. Zarragoikoetxea,A. Pajares,I. Moreno,J. Porta,T. Koller,V. Cegarra,A.I. Gonzalez,M. Eiras,Elena Sandoval,J. Aurelio Sarralde,B. Quintana-Villamandos,R. Vicente Guillén +11 more
TL;DR: In this article, a documento de consenso pretende unificar conocimientos and aportar recomendations basadas tanto en la bibliografia reciente como en la experiencia de los principales centros nacionales implantadores de ECMO con el objetivo final de mejorar la atencion integral al paciente.
Journal ArticleDOI
Basics of Extracorporeal Membrane Oxygenation.
TL;DR: The use of extracorporeal membrane oxygenation (ECMO) is becoming commonplace worldwide in ICUs for the care of patients with respiratory and/or cardiac failure as mentioned in this paper.
Journal ArticleDOI
Basics of Extracorporeal Membrane Oxygenation
TL;DR: The use of extracorporeal membrane oxygenation (ECMO) is becoming commonplace worldwide in ICUs for the care of patients with respiratory and/or cardiac failure as discussed by the authors .
References
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Protracted aortic valve closure during peripheral veno-arterial extracorporeal life support: is intra-aortic balloon pump an effective solution?
Paolo Meani,Thijs Delnoij,Giuseppe Maria Raffa,Giuseppe Maria Raffa,Nuccia Morici,Giovanna Viola,Alice Sacco,Fabrizio Oliva,Samuel Heuts,Jan Willem Sels,Rob G. H. Driessen,Paul Roekaerts,Martijn Gilbers,Elham Bidar,Rick Schreurs,Ehsan Natour,Leo Veenstra,Suzanne Kats,Jos G. Maessen,Roberto Lorusso +19 more
TL;DR: IABP placement was an effective solution in order to reverse the protracted AV closure and impaired LV unloading observed during peripheral V-A ECMO support, however, the impact on the weaning rate and survival needs further investigations.
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Monitoring: from cardiac output monitoring to echocardiography.
TL;DR: The characteristics of the main available hemodynamic monitoring systems are summarized and the use of echocardiography should be encouraged at the initial period of shock to identify main involved mechanisms and to select the appropriate therapy.
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Internal jugular vein variability predicts fluid responsiveness in cardiac surgical patients with mechanical ventilation.
TL;DR: Ultrasound-derived IJVV is an accurate, easily acquired noninvasive parameter of fluid responsiveness in mechanically ventilated postoperative cardiac surgery patients, with a performance similar to that of IVCV.
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Epinephrine, inodilator, or no inotrope in venoarterial extracorporeal membrane oxygenation implantation: a single-center experience
Viviane Zotzmann,Jonathan Rilinger,Corinna N. Lang,Klaus Kaier,Christoph Benk,Daniel Duerschmied,Paul Biever,Christoph Bode,Tobias Wengenmayer,Dawid L. Staudacher +9 more
TL;DR: Early epinephrine therapy within the first 24 h after cannulation for VA-ECMO was associated with poor survival compared to patients with or without any inodilator therapy, and should be avoided in patients on VA- ECMO.
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Associations with the In-Hospital Survival Following Extracorporeal Membrane Oxygenation in Adult Acute Fulminant Myocarditis.
Shaur-Zheng Chong,Chih-Yuan Fang,Hsiu-Yu Fang,Huang-Chung Chen,Chien-Jen Chen,Cheng-Hsu Yang,Chi-Ling Hang,Hon-Kan Yip,Chiung-Jen Wu,Wei-Chieh Lee,Wei-Chieh Lee,Wei-Chieh Lee +11 more
TL;DR: When ECMO was used for AFM, related cardiogenic shock and decompensated heart failure, higher peak serum troponin-I levels and 24-h serum lactic acid levels following ECMO use were independently associated with in-hospital mortality.