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
Hemodynamic assessment and risk classification for successful weaning of Impella in patients with cardiogenic shock.
Yuki Ikeda,Shunsuke Ishii,Kenji Maemura,Takumi Oki,Mayu Yazaki,Teppei Fujita,Yuichiro Iida,Daisuke Kinoshita,Nobuhiro Sato,Junya Ako +9 more
TL;DR: PAWP or MPAP higher than the cutoff with CPO below the cutoff at Impella weaning were associated with worse outcomes, and lower values showed strong associations with 30-day non-survival risk.
Journal ArticleDOI
Intraoperative Management of Adult Patients on Extracorporeal Membrane Oxygenation: An Expert Consensus Statement From the Society of Cardiovascular Anesthesiologists-Part II, Intraoperative Management and Troubleshooting.
Michael A. Mazzeffi,Vidya K. Rao,Jeffrey M. Dodd-o,Jose Mauricio Del Rio,Antonio Hernandez,Mabel Chung,Amit Bardia,Rebecca M. Bauer,Joseph S. Meltzer,Sree Satyapriya,Raymond Rector,James Ramsay,Jacob T. Gutsche +12 more
TL;DR: In the second part of the Society of Cardiovascular Anesthesiologists Extracorporeal Membrane Oxygenation (ECMO) working group expert consensus statement, venoarterial (VA) and venovenous (VV) ECMO management and troubleshooting in the operating room are discussed as mentioned in this paper.
Journal ArticleDOI
Basics of extra corporeal membrane oxygenation: a pediatric intensivist's perspective.
TL;DR: In the ICU, extra corporeal membrane oxygenation (ECMO) is one of the most advanced forms of life support therapy in the Intensive Care Unit (ICU) as mentioned in this paper.
Journal ArticleDOI
Sensitivity of ventricular systolic function to afterload during veno‐arterial extracorporeal membrane oxygenation
Pauline Y. Ng,Tammy Sin Kwan Ma,April Ip,Man Kei Lee,Andrew Kei-Yan Ng,Chun-Wai Ngai,Wai-Ming Chan,Chung-Wah Siu,Wai-Ching Sin +8 more
TL;DR: It is demonstrated that LV systolic function was significantly more sensitive to the afterload effects of V-A ECMO during the acute stage of myocardial dysfunction compared with the delayed phase, which informs the clinical utility of echocardiographic assessment in patients on V- A ECMO.
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
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.