Journal ArticleDOI
Predictors of successful extracorporeal membrane oxygenation (ECMO) weaning after assistance for refractory cardiogenic shock.
Nadia Aissaoui,Charles Edouard Luyt,Pascal Leprince,Jean-Louis Trouillet,Philippe Léger,Alain Pavie,Benoit Diebold,Jean Chastre,Alain Combes +8 more
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TLDR
Patients who tolerated a full ECMO weaning trial and had aortic VTI ≥10 cm, LVEF >20–25%, and TDSa ≥6 cm/s at minimal ECMO flow were all successfully weaned, and further studies are needed to validate these simple and easy-to-acquire Doppler echocardiography parameters as predictors of subsequent EC MO weaning success in patients recovering from severe cardiogenic shock.Abstract:
Purpose
Detailed extracorporeal membrane oxygenation (ECMO) weaning strategies and specific predictors of ECMO weaning success are lacking. This study evaluated a weaning strategy following support for refractory cardiogenic shock to identify clinical, hemodynamic, and Doppler echocardiography parameters associated with successful ECMO removal.read more
Citations
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Journal ArticleDOI
Can levosimendan reduce ECMO weaning failure in cardiogenic shock?: a cohort study with propensity score analysis.
Enrique Guilherme,Matthias Jacquet-Lagrèze,Matteo Pozzi,Felix A. Achana,Xavier Armoiry,Xavier Armoiry,Jean-Luc Fellahi +6 more
TL;DR: Levosimendan did not improve the rate of successful VA-ECMO weaning in patients with refractory cardiogenic shock and no significant difference was found between groups for all secondary outcomes.
Journal ArticleDOI
Predictors of Successful Weaning From Veno-Arterial Extracorporeal Membrane Oxygenation After Coronary Revascularization for Acute Myocardial Infarction Complicated by Cardiac Arrest: A Retrospective Multicenter Study.
Atsushi Sugiura,Ryuzo Abe,Takashi Nakayama,Noriyuki Hattori,Yoshihide Fujimoto,Toshiharu Himi,Koichi Sano,Shigeto Oda,Yoshio Kobayashi +8 more
TL;DR: Successful weaning from VA-ECMO was predicted by post-PCI TIMI flow grade, MAP at 4’h, and serum lactate at 24 h after VA- ECMO initiation in patients of AMI complicated by CA, and in patients who failed to wean from ECMO, LVEF did not recover within 48”h.
Journal ArticleDOI
Prognostic Implication of RV Coupling to Pulmonary Circulation for Successful Weaning From Extracorporeal Membrane Oxygenation
Darae Kim,Yoonjee Park,Ki Hong Choi,Taek Kyu Park,Joo Myung Lee,Yang Hyun Cho,Jin-Oh Choi,Eun-Seok Jeon,Jeong Hoon Yang +8 more
TL;DR: In this paper, the authors explored if right ventricular (RV) contractile function and its coupling to pulmonary circulation (PC) were associated with successful weaning from venoarterial−extracorporeal membrane oxygenation (VA-ECMO) at maintenance of pump flow.
Journal ArticleDOI
Ultrasonic evaluation of the heart.
TL;DR: The role of echocardiography for the hemodynamic evaluation of critically ill patients is discussed and its crucial role in evaluating heart abnormalities as in the classical cardiological approach is discussed.
Journal ArticleDOI
Extracorporal life support (ECLS) in acute ischaemic cardiogenic shock.
Stefan M. Sattler,Nawid Khaladj,Marc-Michael Zaruba,Martin R. Fischer,Jörg Hausleiter,Julinda Mehilli,Stefan Kääb,Christian Hagl,Steffen Massberg,Hans D. Theiss +9 more
TL;DR: An informative systematic review and meta-analysis of the value of procalcitonin to diagnose bacterial infection in elderly patients found that low values of PCT were no more informative than high values and the signal-to-noise ratio of a positive PCT is very low.
References
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Cardiopulmonary resuscitation with assisted extracorporeal life-support versus conventional cardiopulmonary resuscitation in adults with in-hospital cardiac arrest: an observational study and propensity analysis
Yih-Sharng Chen,Jou-Wei Lin,Hsi-Yu Yu,Wen-Je Ko,Jih-Shuin Jerng,Wei-Tien Chang,Wen-Jone Chen,Shu-Chien Huang,Nai-Hsin Chi,Chih-Hsien Wang,Li-Chin Chen,Pi-Ru Tsai,Sheoi-Shen Wang,Juey-Jen Hwang,Fang-Yue Lin +14 more
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Journal ArticleDOI
Outcomes and long-term quality-of-life of patients supported by extracorporeal membrane oxygenation for refractory cardiogenic shock*
Alain Combes,Pascal Leprince,Charles-Edouard Luyt,Nicolas Bonnet,Jean-Louis Trouillet,Philippe Léger,Alain Pavie,Jean Chastre +7 more
TL;DR: ECMO support can rescue 40% of otherwise fatal cardiogenic shock patients but its initiation under cardiac massage or after renal or hepatic failure carried higher risks of intensive care unit death, while fulminant myocarditis had a better prognosis.