Journal ArticleDOI
Hemodynamic monitoring in the extracorporeal membrane oxygenation patient.
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TLDR
This review discusses the various monitoring modalities relevant to the management of patients on venovenous ECMO (VV ECMO) and venoarterial (VA ECMO), and emphasizes how differences between VV and VA ECMO are reflected in distinct approaches to monitoring.Abstract:
Purpose of reviewHemodynamic monitoring in ECMO patients requires familiarity with the underlying pathophysiology and circulatory mechanics of extracorporeal flow. This review discusses the various monitoring modalities relevant to the management of patients on venovenous ECMO (VV ECMO) and venoarteread more
Citations
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Journal ArticleDOI
Pulmonary complications associated with veno-arterial extra-corporeal membrane oxygenation: a comprehensive review
TL;DR: The mechanisms of lung damage and dysfunction under VA-ECMO are presented, potential strategies to prevent and treat such alterations are discussed and could possibly result in long-term lung dysfunction.
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
Contemporary Comprehensive Monitoring of Veno-arterial Extracorporeal Membrane Oxygenation Patients
Meena Bhatia,Jason N. Katz +1 more
TL;DR: More research is needed to establish optimal evidence-based care pathways and best-practice principles for using these devices to improve patient outcomes and to understand risks and benefits of 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
Myocardial perfusion and cardiac dimensions during extracorporeal membrane oxygenation-supported circulation in a porcine model of critical post-cardiotomy failure.
Atle Solholm,Pirjo-Riitta Salminen,Lodve Stangeland,Christian Arvei Moen,Arve Mongstad,Bård Svenheim,Rune Haaverstad,Rune Haaverstad,Ketil Grong +8 more
TL;DR: Coronary artery blood flow is maintained during venoarterial extracorporeal membrane oxygenation after cardiopulmonary bypass and cardioplegic arrest despite severely affected performance of the left ventricle.
References
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Journal ArticleDOI
Association of hospital-level volume of extracorporeal membrane oxygenation cases and mortality: Analysis of the extracorporeal life support organization registry
Ryan P. Barbaro,Folafoluwa O. Odetola,Kelley M. Kidwell,Matthew L. Paden,Robert H. Bartlett,Matthew M. Davis,Gail M. Annich +6 more
TL;DR: In this international, case-mix-adjusted analysis, higher annual hospital ECMO volume was associated with lower mortality in 1989-2013 for neonates and adults; the association among adults persisted in 2008-2013.
Journal ArticleDOI
Extracorporeal membrane oxygenation: evolving epidemiology and mortality.
Christian Karagiannidis,Daniel Brodie,Stephan Strassmann,Erich Stoelben,Alois Philipp,Thomas Bein,Thomas Müller,Wolfram Windisch +7 more
TL;DR: In a high-income country like Germany, the use of ECMO has been rapidly increasing since 2007 for both respiratory and cardiac support, with a recent plateau in vv-ECMO use.
Journal ArticleDOI
Conservative fluid management or deresuscitation for patients with sepsis or acute respiratory distress syndrome following the resuscitation phase of critical illness: a systematic review and meta-analysis.
Jonathan A Silversides,Jonathan A Silversides,Emmet Major,Andrew Ferguson,Emma E. Mann,Daniel F. McAuley,Daniel F. McAuley,John C. Marshall,John C. Marshall,Bronagh Blackwood,Eddy Fan +10 more
TL;DR: In adults and children with ARDS, sepsis or SIRS, a conservative or deresuscitative fluid strategy results in an increased number of ventilator-free days and a decreased length of ICU stay compared with a liberal strategy or standard care.
Journal ArticleDOI
Venoarterial Extracorporeal Membrane Oxygenation for Cardiogenic Shock and Cardiac Arrest
TL;DR: Venoarterial extracorporeal membrane oxygenation (VA-ECMO) as discussed by the authors is a form of temporary mechanical circulatory support and simultaneous extrorporeal gas exchange and is a salvage intervention in patients with cardiogenic shock, even cardiac arrest refractory to standard therapies.
Journal ArticleDOI
Position paper for the organization of ECMO programs for cardiac failure in adults.
Darryl Abrams,A. Reshad Garan,Akram Abdelbary,Matthew Bacchetta,Robert H. Bartlett,James Beck,Jan Belohlavek,Yih-Sharng Chen,Eddy Fan,Eddy Fan,Niall D. Ferguson,Niall D. Ferguson,Jo Anne Fowles,John F. Fraser,M.N. Gong,Ibrahim A. Hassan,Carol L. Hodgson,Carol L. Hodgson,Xiaotong Hou,K. Hryniewicz,Shingo Ichiba,William Jakobleff,Roberto Lorusso,Graeme MacLaren,Graeme MacLaren,Shay McGuinness,Shay McGuinness,Thomas Mueller,Pauline K. Park,Giles J. Peek,Vin Pellegrino,Susanna Price,Erika B. Rosenzweig,T. Sakamoto,Leonardo Salazar,Matthieu Schmidt,Arthur S. Slutsky,Arthur S. Slutsky,Christian Spaulding,Hiroo Takayama,Koji Takeda,Alain Vuylsteke,Alain Combes,Daniel Brodie +43 more
TL;DR: This document advocates for a multidisciplinary team of experts to guide institutional use of this therapy and the care of patients receiving it, and highlights key aspects of care delivery in this rapidly growing technology.