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
Reads0
Chats0
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
More filters
Journal ArticleDOI
Early Blood Pressure Variables Associated With Improved Outcomes in VA-ECLS: The ELSO Registry Analysis.
Aniket S Rali,Sagar Ranka,Amy E. Butcher,Zubair Shah,Joseph E. Tonna,Marc Anders,Marshall Brinkley,Hasan K. Siddiqi,Lynn R. Punnoose,Mark Wigger,Suzanne Brown Sacks,Dawn Pedrotty,Henry Ooi,Matthew Bacchetta,Jordan Hoffman,W. J. McMaster,Keki R. Balsara,Ashish S. Shah,Jonathan N. Menachem,Kelly Schlendorf,JoAnn Lindenfeld,Sandip Zalawadiya +21 more
TL;DR: In this article , the authors identify early blood pressure variables associated with improved outcomes in veno-arterial extracorporeal life support (VA-ECLS) in treatment of cardiogenic shock (CS) patients.
Journal ArticleDOI
Veno‐arterial extracorporeal membrane oxygenation for drug intoxications: A single center, 14‐year experience
Matteo Pozzi,Rémi Buzzi,Ahmad Hayek,Philippe Portran,Rémi Schweizer,Jean-Luc Fellahi,Xavier Armoiry,M. Flagiello,Daniel Grinberg,Jean-François Obadia +9 more
TL;DR: Evaluated the outcomes after VA‐ECMO used for drug intoxications in a single‐center experience to evaluate the effectiveness of this rescue therapeutic option for patients refractory to optimal conventional treatment.
Journal ArticleDOI
Early prediction of 3-month survival of patients in refractory cardiogenic shock and cardiac arrest on extracorporeal life support
Clément Delmas,Jean-Marie Conil,Simon Sztajnic,Bernard Georges,C. Biendel,Camille Dambrin,Michel Galinier,Vincent Minville,Olivier Fourcade,Stein Silva,Bertrand Marcheix +10 more
TL;DR: In case of refractory CA or CS, lactates and renal function at ECLS initiation could serve as outcome predictor for risk stratification and ECLs indication.
POCUS series : The use of velocity time integral in assessing cardiac output and fluid responsiveness
TL;DR: The use of the left ventricular outflow tract velocity time integral is described to ascertain cardiac output and fluid responsiveness.
Journal ArticleDOI
Brain natriuretic peptide levels predict 6-month mortality in patients with cardiogenic shock who were weaned off extracorporeal membrane oxygenation.
Hyoung Soo Kim,Kyu Jin Lee,Sang Ook Ha,Sang Jin Han,Kyoung-Ha Park,Sun Hee Lee,Yong Il Hwang,Seung Hun Jang,Sunghoon Park +8 more
TL;DR: Cox proportional hazards model revealed that BNP levels on days 1 and 5 after ECMO weaning were significantly associated with 6-month mortality in patients with ACS complicated by refractory cardiogenic shock who were weaned off ECMO.
References
More filters
Journal ArticleDOI
The SOFA (Sepsis-related Organ Failure Assessment) score to describe organ dysfunction/failure. On behalf of the Working Group on Sepsis-Related Problems of the European Society of Intensive Care Medicine.
Jean Louis Vincent,R. Moreno,Jukka Takala,Sheila Willatts,A. de Mendonça,Hajo A. Bruining,C. K. Reinhart,P. M. Suter,L. G. Thijs +8 more
TL;DR: The ESICM developed a so-called sepsis-related organ failure assessment (SOFA) score to describe quantitatively and as objectively as possible the degree of organ dysfunction/failure over time in groups of patients or even in individual patients.
Journal ArticleDOI
A new Simplified Acute Physiology Score (SAPS II) based on a European/North American multicenter study
TL;DR: The SAPS II, based on a large international sample of patients, provides an estimate of the risk of death without having to specify a primary diagnosis, and is a starting point for future evaluation of the efficiency of intensive care units.
Journal ArticleDOI
Doppler Tissue Imaging: A Noninvasive Technique for Evaluation of Left Ventricular Relaxation and Estimation of Filling Pressures
Sherif F. Nagueh,Katherine J. Middleton,Helen A. Kopelen,William A. Zoghbi,Miguel A. Quinones +4 more
TL;DR: Mitral E velocity, corrected for the influence of relaxation (i.e., the E/Ea ratio), relates well to mean PCWP and may be used to estimate LV filling pressures.
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
TL;DR: Extracorporeal CPR had a short-term and long-term survival benefit over conventional CPR in patients with in-hospital cardiac arrest of cardiac origin and this study was a 3-year prospective observational study.
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.