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
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Journal ArticleDOI
Use of ECMO in adult patients with cardiogenic shock: a position paper of the Austrian Society of Cardiology
Philipp Pichler,Herwig Antretter,Martin W. Dünser,Stephan Eschertzhuber,Roman Gottardi,Gottfried Heinz,Gerhard Pölzl,Ingrid Pretsch,Angelika Rajek,Andrä Wasler,Daniel Zimpfer,Alexander Geppert +11 more
TL;DR: The present guidelines aim to optimize the use of ECMO in the individual centers, and aim to help current non-ECMO centers in developing a local ECMO-program or to contact EC MO-centers for discussion of individual patients.
Book ChapterDOI
Patient Care During ECMO
TL;DR: To minimise the risk of bleeding, a “do no harm” approach must be used avoiding unnecessary invasive procedures and the complex interaction between the patient and the ECMO apparatus must be accounted during the evaluation.
Journal ArticleDOI
Extracorporeal cardiopulmonary resuscitation for refractory in-hospital cardiac arrest: A retrospective cohort study.
Simon Bourcier,Cyrielle Desnos,M. Clement,Guillaume Hékimian,Nicolas Bréchot,Fabio Silvio Taccone,Mirko Belliato,Federico Pappalardo,Lars Mikael Broman,Maximilian V. Malfertheiner,Dirk Lunz,B. Schmidt,Pascal Leprince,Alain Combes,Guillaume Lebreton,Charles-Edouard Luyt +15 more
TL;DR: In this article , the authors identify selection criteria available at the time ECPR was considered for patients with in-hospital cardiac arrest, which can improve ICU survival before ECPR.
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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Journal ArticleDOI
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.