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
Nouveautés dans les indications de l’ECMO veino-artérielle périphérique
M. Pineton De Chambrun,Nicolas Bréchot,Jean-Louis Trouillet,Jean Chastre,Alain Combes,Charles-Edouard Luyt +5 more
TL;DR: Peripheral venoarterial extracorporeal membrane oxygenation (PVA-ECMO) has become the first-line therapy in many centers during refractory circulatory failure and provides a rapid cardio-circulatory and pulmonary support at bedside, even in remote locations thanks to mobile ECMO teams, with reasonable costs.
Journal ArticleDOI
Outcomes following successful decannulation from extracorporeal life support for cardiogenic shock.
TL;DR: In this article , the authors evaluated the outcomes of those successfully weaned from extracorporeal life support (ECLS) for patients with Cardiogenic Shock (CS) and found that successful decannulation can be achieved in a significant proportion of patients treated with ECLS for CS but does not guarantee survival to hospital discharge.
Journal ArticleDOI
Pulse pressure within the first 2 days of veno-arterial extracorporeal membrane oxygenation is predictive of death prior to hospital discharge, renal dysfunction requiring dialysis and pulmonary oedema.
Maithri Siriwardena,Jeff Breeding,Mani Gopalakrishnan,Paul Jansz,Emily Granger,Andrew Jackson,Peter S. Macdonald,David Lowe,Hergen Buscher,Priya Nair +9 more
TL;DR: PP during the first 2 days of support is predictive of clinically important outcomes in patients supported with VA-ECMO, and central venous pressure, mean arterial pressure were not predictive.
Journal ArticleDOI
SEDAR/SECCE ECMO management consensus document.
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 consensus document aims to unify medical knowledge and provide recommendations based on both the recent bibliography and the main national ECMO implantation centers experience with the goal of improving comprehensive patient care.
Journal ArticleDOI
Oxygen: A Luxurious Life-Giving and Potentially Toxic Gas.
TL;DR: In this retrospective single-center study of 93 high-risk infants requiring VA-ECMO in the postoperative period for cyanotic and noncyanotic CHD, the authors found that mortality at 30 days post surgery (primary outcome) was 38%, similar to what has been reported in other studies.
References
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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
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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.