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
Discontinuation of ECMO—a review with a note on Indian scenario
TL;DR: In this paper , the authors discuss the weaning strategies of veno-venous and venoarterial ECMO including the bridge to recovery and bridge to transplant along with post-ECMO care.
Journal ArticleDOI
Monitorage hémodynamique par échocardiographie des patients en état de choc
TL;DR: Critical care echocardiography is currently recommended as the first-line technique for the hemodynamic assessment of patients presenting with acute circulatory failure and may be completed by the transesophageal approach in the presence of suboptimal imaging quality or if expected diagnostic accuracy is deemed insufficient.
Journal ArticleDOI
Hemodynamic monitoring in cardiogenic shock
Olfa Hamzaoui,Florence Boissier +1 more
TL;DR: In this paper , a review of the different parameters relevant to each monitoring approach and the way they can be used to support optimal management of these patients is presented, along with a discussion of the right timing of the indication, weaning from mechanical cardiac support, and guidance on inotropic treatments.
Journal ArticleDOI
Parameters associated with successful weaning of veno-arterial extracorporeal membrane oxygenation: a systematic review
Francis Charbonneau,Karina Chahinian,Emmanuel R. Bebawi,Olivier Lavigueur,Emilie Levesque,Yoan Lamarche,Karim Serri,Martin L. Albert,Pierre-Emmanuel Noly,Alexis Cournoyer,Yiorgos Alexandros Cavayas +10 more
TL;DR: A systematic review of the medical literature to determine the biomarkers, hemodynamic and echocardiographic parameters associated with successful weaning of VA-ECMO in adults with cardiogenic shock and to present an evidence-based weaning algorithm incorporating key findings is presented in this article .
Journal ArticleDOI
The ABCDE approach to difficult weaning from venoarterial extracorporeal membrane oxygenation
TL;DR: In this paper , the authors provide an overview of pivotal factors that potentially prevent successful weaning of Venoarterial extracorporeal membrane oxygenation (VA ECMO) in patients with cardiogenic shock.
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.