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May 1, 2021: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs
K Pilarczyk, G Michels, S Wolfrum, G Trummer, N Haake
Extracorporeal cardiopulmonary resuscitation (eCPR) is the implementation of extracorporeal membrane oxygenation (ECMO) in selected patients with cardiac arrest and may be considered when conventional CPR efforts fail, as written in the latest international guidelines. eCPR is a complex intervention that requires a highly trained team, specialized equipment, and multidisciplinary support within a healthcare system and it has the risk of several life-threatening complications. However, there are no randomized, controlled studies on eCPR, and valid predictors of benefit and outcome are lacking...
April 9, 2021: Medizinische Klinik, Intensivmedizin und Notfallmedizin
Yubiao Gai, Xiaojing Guo, Chen Xin, Zhiyong Yuan, Jinyan Xing
OBJECTIVE: To summarize the establishment and management experience of extracorporeal membrane oxygenation (ECMO) rapid response team, and explore a more efficient rescue mode. METHODS: From January 2015 to September 2020, 85 patients treated with ECMO in Affiliated Hospital of Qingdao University were selected as the research objects. Thirty-eight patients treated with conventional ECMO from January 2015 to December 2019 were selected as the control group, and 47 patients treated with ECMO rapid response team from January 2020 to September 2020 were selected as the experimental group...
March 2021: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
Renfeng Yi, Juan Guo, Qing Zhou, Hongning Song, Yanxiang Zhou, Nan Jiang, Xue Yao, Ruiqiang Guo
OBJECTIVE: To explore the monitoring value of left ventricular functional parameters obtained by bedside ultrasound combined with clinically relevant indicators in patients with veno-arterial extracorporeal membrane oxygenation (VA-ECMO). METHODS: A retrospective study was conducted. A total of 24 patients receiving VA-ECMO adjuvant support in Renmin Hospital of Wuhan University from June 2018 to January 2020 were selected. The bedside ultrasound was performed on the first day of ECMO support, the day before weaning, the clinical indicators before weaning were obtained...
March 2021: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
Guangyu Lyu, Tianbin Cai, Wenfang Jiang, Meiqiong Liu, Xiaoyuan Wang
OBJECTIVE: To observe the effects of veno-venous extracorporeal membrane oxygenation (VV-ECMO) combined with prone position ventilation (PPV) on oxygenation index (PaO2 /FiO2 ), respiratory compliance (Crs) and vasoactive inotropic score (VIS) in severe acute respiratory distress syndrome (ARDS) patients. METHODS: Eighteen patients with severe ARDS requiring VV-ECMO support in Liuzhou People's Hospital from June 2018 to April 2020 were selected for retrospective analysis, and 8 patients among of these cases received PPV after VV-ECMO...
March 2021: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
Nuno Carvalho Guerra
No abstract text is available yet for this article.
April 8, 2021: Revista Portuguesa de Cirurgia Cardio-torácica e Vascular
Daniela Gouveia, José Máximo, Nuno Costa, Soraia Moreira, Armando Abreu, Paulo Pinho, Jorge Casanova
OBJECTIVES: Our objective was to examine the results of ECMO post cardiotomy in Centro Hospitalar Universitário S. João (CHUSJ). METHODS: Between 2011 and 2019, 13 patients were cannulated for refractory cardiogenic shock post-cardiotomy; 8 (61,5%) male and 5 (38,5%) female. Patients under 18 years old were excluded. Data was collected from hospital archives concerning preoperative comorbidities, open-heart surgery procedure, dates of ECMO cannulation and decannulation, postoperative complications, hospital mortality and cause of death...
April 8, 2021: Revista Portuguesa de Cirurgia Cardio-torácica e Vascular
Manuela Silva, Carolina Rodrigues, Tiago Silva, Pedro Coelho, Nuno Banazol, Rui Rodrigues, Paulo Franco, José Fragata
OBJECTIVES: We aim to report our experience on venoarterial extracorporeal membrane oxygenation (VA-ECMO) for postcardiotomy shock (PCS). METHODS: Single center, retrospective study of all patients on VA-ECMO for PCS, from November 2006 to July 2019. Pediatric and adult patients were analysed separately. Primary outcomes were survival to discharge and one-year survival. RESULTS: Twenty-nine patients were included. Pediatric group (group PED) (62%, n=18): mean age 1,3±2,1 years and 39% male...
April 8, 2021: Revista Portuguesa de Cirurgia Cardio-torácica e Vascular
Marietou Daou, Claire Lauzon, E Caroline Bullen, Irene Telias, Eddy Fan, M Elizabeth Wilcox
Objectives: To assess differences in cognitive outcomes and sleep in adult survivors of critical illness, managed with venovenous extracorporeal membrane oxygenation as compared to conventional mechanical ventilation only. Design: Retrospective cohort study linked with data from the COGnitive outcomes and WELLness study. Setting: A multisite study from five adult medical/surgical ICUs in Toronto. Patients: Thirty-three ICU survivors including adult patients who received venovenous extracorporeal membrane oxygenation ( n = 11) matched with patients who received mechanical ventilation only ( n = 22) using specified covariates (e...
April 2021: Critical care explorations
Gary Peter Misselbrook, S Morad Hameed, Naisan Garraway, Rihab Al-Lawati
A 47-year-old man sustained multisystem injuries after being struck by a vehicle travelling at high speeds. Shortly after admission to the emergency department he suffered a ventricular tachycardia/ventricular fibrillation cardiac arrest lasting 30 min. Investigations following return of spontaneous circulation raised suspicion for an anterolateral ST-elevation myocardial infarction. Despite his major traumatic injuries the patient was transferred for percutaneous coronary intervention uncovering a complete thrombosis of the ostium of the left anterior descending artery...
April 8, 2021: BMJ Case Reports
Kazuki Hayasaka, Yui Watanabe, Takashi Hirama, Hisashi Oishi, Masafumi Noda, Hiroaki Toyama, Yutaka Ejima, Yoshikatsu Saiki, Yoshinori Okada
Although single-lung transplant on the side with better lung function is challenging in patients with significantly asymmetrical lung function between the right and left sides, it sometimes can be a realistic option because of the recipient's condition and from the viewpoint of organ sharing. We report our experience with a successful case of single-lung transplant on the side with a pulmonary perfusion ratio of 89%. The transplant was performed with the patient under central venoarterial extracorporeal membrane oxygenation through a clamshell incision, and the patient had an acceptable short- and long-term outcome with a remarkable improvement of lung function...
April 5, 2021: Transplantation Proceedings
Timothy Amos, Holly Bannon-Murphy, Meei Yeung, Julian Gooi, Silvana Marasco, Andrew Udy, Mark Fitzgerald
Aim To review the indications, complications and outcomes of extracorporeal membrane oxygenation (ECMO) in major trauma patients. Methods Single centre, retrospective, cohort study. Results Over a ten year period, from 13,420 major trauma patients, 11 were identified from our institutional trauma registry as having received ECMO. These patients were predominantly younger (mean 39 +/- 17 years), male (91%) and severely traumatised (median ISS 50, IQR 34 - 54). Veno-venous (VV) ECMO was used predominantly (n = 7, 64%), to treat hypoxic respiratory failure (mean PaO2/FiO2 ratio 69...
April 2, 2021: Injury
Shiqian Huang, Shuai Zhao, Huilin Luo, Zhouyang Wu, Jing Wu, Haifa Xia, Xiangdong Chen
Extracorporeal life support treatments such as extracorporeal membrane oxygenation (ECMO) have been recommended for the treatment of severe acute respiratory distress syndrome (ARDS) patients with coronavirus disease 2019 (COVID-19). To date, many countries, including China, have adopted ECMO as a treatment for severe COVID-19. However, marked differences in patient survival rates have been reported, and the underlying reasons are unclear. This study aimed to summarize the experience of using ECMO to treat severe COVID-19 and provide suggestions for improving ECMO management...
April 8, 2021: BMC Pulmonary Medicine
Nur Dikmen Yaman, Tanıl Kendirli, Tayfun Uçar, Mehmet Çakıcı, Bahadır Inan, Zeynep Eyileten, Ercan Tutar, Ahmet Rüçhan Akar
Short-term mechanical circulatory support can be life-saving in the pediatric population with acute cardiogenic shock (ACS). However, recovery from MCS is a rare entity. MCS options are limited for low-body-weight children in Turkey. Over the last decade, extracorporeal membrane oxygenation (ECMO) has been the primary bridging modality for children with end-stage heart failure in our country. However, VA-ECMO may cause increased wall stress and oxygen demand, which may alter myocardial recovery. Here, we describe using a Levitronix CentriMag Systems for biventricular support as a bridge to recovery in a 16-month-old boy (weight, 11 kg; BSA, 0...
April 8, 2021: Perfusion
Burkhard Dasch, Peter K Zahn
BACKGROUND: The opportunities available for maintaining and prolonging life in modern medicine give rise to medical-ethical dilemmas in patients at the end of life, raising the question of whether intensified treatment and diagnosis is appropriate in these patients. This affects hospital patients in particular. METHODS: This single-center cross-sectional study from Germany analyzed hospital records of all deceased patients of a university hospital who died between October 2016 and September 2017...
April 1, 2021: Annals of Palliative Medicine
Qing Ai, Hongsheng Deng, Danxia Huang, Qihua He, Guilin Peng, Weixiang Lu, Hengrui Liang, Yunpeng Zhong, Jianfu Li, Shan Xiong, Bo Cheng, Caichen Li, Yi Zhao, Tuo Xing, Run Li, Ying Chen, Wenhua Liang, Xin Xu, Jianxing He
BACKGROUND: Early endotracheal extubation in operating room (E-OR) after lung transplantation is rarely reported worldwide. Herein, we aim to explore the feasibility and safety of E-OR after lung transplantation and demonstrate its potential benefits. METHODS: This study is a single-center retrospective database analysis of 18 patients. All lung transplantation patients with E-OR attempted between June 2018 and September 2019 were included retrospectively. Perioperative variables, including ischemia time, total blood loss, blood lactic acid, the partial pressure of oxygen, partial pressure of oxygen/fraction of inspiration oxygen ratio, time of semi-open pulmonary artery occlusion clamp, extubation rate, and complications after E-OR, were analyzed...
March 23, 2021: Annals of Palliative Medicine
Y J Xiao, X Dong, H Z Yang, H Y Tan, R L Zhou, Y Chen, X B Shen, M Y Yan
Objective: To describe the epidemiological characteristics and clinical features of patients with fatal coronavirus disease (COVID-19), in order to provide evidence for clinical diagnosis and treatment. Methods: In this retrospective study, we analyzed data on 141 fatal cases of confirmed COVID-19 that occurred among patients in Jinyintan Hospital in Wuhan, China, from January 20 to March 6, 2020. We analyzed their epidemiological characteristics, clinical and radiological features, laboratory results, and treatment...
April 12, 2021: Chinese Journal of Tuberculosis and Respiratory Diseases
Akihisa Furuta, Shogo Mukai, Katsumasa Sato, Hironobu Morimoto, Kenji Goto, Daisuke Futagami, Junya Kitaura
We aimed to evaluate the results of transapical transcatheter aortic valve implantation (TAVI) for aortic stenosis. Thirty patients who had aortic stenosis and underwent transapical TAVI between 2016 and 2020 were enrolled. Medical records were reviewed, and the following data were retrieved and analyzed:basic demographic data, and intraoperative data and postoperative outcomes. Mean age was 85.8 years. There were 3 intraoperative complications (1 apex bleeding, 1 coronary stenosis and 1 mitral regurgitation)...
March 2021: Kyobu Geka. the Japanese Journal of Thoracic Surgery
Olga Džupová, Michal Moravec, Hynek Bartoš, Peter Brestovanský, Tomáš Tencer, Tomáš Hyánek, Jan Beroušek, Zdeňka Krupková, František Mošna, Tomáš Vymazal, Jiří Beneš
OBJECTIVES: The aim of the study was to obtain data on demands on the intensive care capacities to treat COVID-19 patients, and to identify predictors for in-hospital mortality. METHODS: The prospective observational multicentre study carried out from 1 March till 30 June 2020 included adult patients with confirmed SARS-CoV-2 infection with respiratory failure requiring ventilatory support or high-flow nasal oxygen therapy (HFNO). RESULTS: Seventy-four patients, 46 males and 28 females, median age 67...
March 2021: Central European Journal of Public Health
Xiaochai Lv, Manjun Deng, Lei Wang, Yi Dong, Liangwan Chen, Xiaofu Dai
BACKGROUND: To compare the safety and efficacy of low-dose anticoagulation (LA) with that of standardized dose anticoagulation (SA) for patients supported with extracorporeal membrane oxygenation (ECMO). METHODS: PubMed, MEDLINE, the Cochrane Library, and Web of Science were screened for original articles. Screening was performed using predefined search terms to identify cohort studies reporting the comparison of LA with SA in patients supported with ECMO from Nov 1990 to Jun 2020...
2021: PloS One
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