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Extracorporeal Membrane Oxygenation Resource Planning in the Setting of Pandemic Respiratory Illness.

Raghu Seethala, Steven P Keller,

Ann Am Thorac Soc (Annals of the American Thoracic Society)
[2020, 17(7):800-803]

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Veno-venous Extracorporeal Membrane Oxygenation Support in COVID-19 Respiratory Distress Syndrome: Initial Experience.

Antonio Loforte, Erika Dal Checco, Gregorio Gliozzi, Maria Benedetto, Giulio Giovanni Cavalli, Carlo Mariani, Giulia Piccone, Marta Agulli, Davide Pacini, Massimo Baiocchi,

SARS-CoV-2 may cause severe respiratory failure due to massive alveolar damage. Currently, no adequate curative therapy for Coronavirus Disease 2019 (COVID-19) disease exists. By considering overall impact of COVID-19 pandemic outbreak, an increased need of extracorporeal membrane oxygenation (ECMO) support becomes evident. We report on our preliminary institutional experience with ... Read more >>

ASAIO J. (ASAIO journal (American Society for Artificial Internal Organs : 1992))
[2020, 66(7):734-738]

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Propofol Safety in Anticoagulated and Nonanticoagulated Patients During Extracorporeal Membrane Oxygenation.

Dana Bakdach, Abdelrauof Akkari, Khaled Gazwi, Ferdinand Deloso, Darwin Tan, Abdulsalam Ibrahim, Ahmad Abdussalam, Ibrahim Hassan,

Sedation management during extracorporeal membrane oxygenation(ECMO) is a common challenge encountered by treating intensivists. Data about the safety of propofol use during ECMO has been contradictory. We aimed to investigate associated risks of propofol use on oxygenator lifespan and to explore the effect of propofol use on oxygenator membranes when ... Read more >>

ASAIO J. (ASAIO journal (American Society for Artificial Internal Organs : 1992))
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Toward Precision Delivery of ECMO in COVID-19 Cardiorespiratory Failure.

Vasileios Zochios, Daniel Brodie, Ken Kuljit Parhar,

ASAIO J. (ASAIO journal (American Society for Artificial Internal Organs : 1992))
[2020, 66(7):731-733]

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Extracorporeal Membrane Oxygenation in the Treatment of Severe Pulmonary and Cardiac Compromise in Coronavirus Disease 2019: Experience with 32 Patients.

Jeffrey P Jacobs, Alfred H Stammers, James St Louis, J W Awori Hayanga, Michael S Firstenberg, Linda B Mongero, Eric A Tesdahl, Keshava Rajagopal, Faisal H Cheema, Tom Coley, Vinay Badhwar, Anthony K Sestokas, Marvin J Slepian,

As coronavirus disease 2019 (COVID-19) cases surge worldwide, an urgent need exists to enhance our understanding of the role of extracorporeal membrane oxygenation (ECMO) in the management of severely ill patients with COVID-19 who develop acute respiratory and cardiac compromise refractory to conventional therapy. The purpose of this manuscript is ... Read more >>

ASAIO J. (ASAIO journal (American Society for Artificial Internal Organs : 1992))
[2020, 66(7):722-730]

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Predicting Survival of Adult Respiratory Failure Patients Receiving Prolonged (≥14 Days) Extracorporeal Membrane Oxygenation.

Joseph Posluszny, Milo Engoren, Lena M Napolitano, Peter T Rycus, Robert H Bartlett, ,

Extracorporeal membrane oxygenation (ECMO) for adult respiratory failure has significantly increased, with longer duration ECMO support required in severe hypoxemia. We sought to examine independent predictors of survival of adult respiratory failure patients requiring prolonged (≥14 days) ECMO. We reviewed Extracorporeal Life Support Organization Registry data on all adult (≥18 ... Read more >>

ASAIO J. (ASAIO journal (American Society for Artificial Internal Organs : 1992))
[2020, 66(7):825-833]

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Extracorporeal Membrane Oxygenation During the Coronavirus Disease 2019 Pandemic.

Mark E Mikkelsen, William Vernick, Jacob Gutsche,

Crit. Care Med. (Critical care medicine)
[2020, :]

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Clinical outcomes according to cannula configurations in patients with acute respiratory distress syndrome under veno-venous extracorporeal membrane oxygenation: a Korean multicenter study.

Sung Yoon Lim, Soyeon Ahn, Sang-Bum Hong, Chi Ryang Chung, Kyeongman Jeon, Sang-Min Lee, Woo Hyun Cho, Sunghoon Park, Young-Jae Cho,

BACKGROUND:Recirculation during veno-venous extracorporeal membrane oxygenation (VV-ECMO) is a known drawback that limits sufficient oxygenation. This study aimed to compare the short-term oxygenation and long-term mortality based on cannula configuration in patients with acute respiratory distress syndrome (ARDS) who receive VV-ECMO, especially in the absence of newly developed dual-lumen, single ... Read more >>

Ann Intensive Care (Annals of intensive care)
[2020, 10(1):86]

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Bivalirudin for Maintenance Anticoagulation During Veno-Venous Extracorporeal Membrane Oxygenation for COVID-19.

Troy G. Seelhammer, Phillip Rowse, Suraj Yalamuri,

In its severe manifestation, COVID-19 compromises oxygenation in a manner that is refractory to maximal conventional support and requires escalation to extracorporeal membrane oxygenation (ECMO). Maintaining ECMO support for extended durations requires a delicately balanced anticoagulation strategy to maintain circuit viability by preventing thrombus deposition, while avoiding excessive anticoagulation yielding ... Read more >>

J. Cardiothorac. Vasc. Anesth. (Journal of Cardiothoracic and Vascular Anesthesia)
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Targeted High Volume Hemofiltration Could Avoid Extracorporeal Membrane Oxygenation in Some Patients with Severe Hantavirus Cardiopulmonary Syndrome

René López, Rodrigo Pérez-Araos, Álvaro Salazar, Mauricio Espinoza, Cecilia Vial, Analia Cuiza, Pablo Vial, Jerónimo Graf,

Background: Hantavirus cardiopulmonary syndrome (HCPS) has a high lethality. About two-thirds of the severe cases may be rescued by extracorporeal membrane oxygenation (ECMO). However, about half of the patients supported by ECMO suffer major complications. High volume hemofiltration (HVHF) is a depurative extracorporeal support that provides homeostatic balance allowing hemodynamic ... Read more >>

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Clinical feedback from experience with COVID-19: Specific considerations for extracorporeal membrane oxygenation.

Antonio Fiore, Quentin de Roux, Nejla Daami, Simon Clariot, Thierry Folliguet, Fabio Silvio Taccone, Nicolas Mongardon,

J. Infect. (The Journal of Infection)
[2020, :]

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Risk factors for agitation and hyperactive delirium in adult postcardiotomy patients with extracorporeal membrane oxygenation support: an observational study.

Hong Wang, Dengbang Hou, Xiaqiu Tian, Liangshan Wang, Chenglong Li, Ming Jia, Xiaotong Hou,

BACKGROUND:Agitation and delirium in critically ill patients after cardiac surgery carry poor in-hospital prognosis. Identifying risk factors may promote its prevention and management. Accordingly, this study aimed to evaluate the incidence of agitation and hyperactive delirium in postcardiotomy patients during the extracorporeal membrane oxygenation support and to identify the risk ... Read more >>

Perfusion (Perfusion)
[2020, :267659120937549]

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Venous Thromboembolism Events Following Venovenous Extracorporeal Membrane Oxygenation for Severe Acute Respiratory Syndrome Coronavirus 2 Based on CT Scans.

Gabriel Parzy, Florence Daviet, Basile Puech, Aude Sylvestre, Christophe Guervilly, Alizée Porto, Sami Hraiech, Kathia Chaumoitre, Laurent Papazian, Jean-Marie Forel,

OBJECTIVES:The main objective of the study was to determine the prevalence of venous thromboembolism events in patients infected with severe acute respiratory syndrome coronavirus 2 requiring venovenous extracorporeal membrane oxygenation. The secondary objective was to compare venous thromboembolism events and coagulation variables in patients requiring venovenous extracorporeal membrane oxygenation according ... Read more >>

Crit. Care Med. (Critical care medicine)
[2020, :]

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Impact of massive blood transfusion during adult extracorporeal membrane oxygenation support on long-term outcomes: a nationwide cohort study in Taiwan.

Fang-Ting Chen, Shao-Wei Chen, Victor Chien-Chia Wu, Kuo-Chun Hung, Shang-Hung Chang, Pei-Chi Ting, An-Hsun Chou,

OBJECTIVES:Bleeding is a common problem during adult extracorporeal membranes oxygenation (ECMO) support, requiring blood transfusion for correction of volume depletion and coagulopathy. The goal of this study is to investigate the long-term outcomes for adults under support of ECMO with massive blood transfusion (MBT). DESIGN:Retrospective nationwide cohort study. SETTING:Data were ... Read more >>

BMJ Open (BMJ open)
[2020, 10(6):e035486]

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Curriculum to Introduce Critical Care Nurses to Extracorporeal Membrane Oxygenation.

Whitney D Gannon, Lynne Craig, Lindsey Netzel, Carmen Mauldin, Ashley Troutt, Matthew Warhoover, Yuliya Tipograf, Katherine Hogrefe, Todd W Rice, Ashish Shah, Matthew Bacchetta,

BACKGROUND:Despite the growing use of extracorporeal membrane oxygenation (ECMO) in intensive care units (ICUs), no standardized ECMO training pathways are available for ECMO-naive critical care nurses. OBJECTIVES:To evaluate a critical care nurse ECMO curriculum that may be reproducible across institutions. METHODS:An ECMO curriculum consisting of a basic safety course and ... Read more >>

Am. J. Crit. Care (American journal of critical care : an official publication, American Association of Critical-Care Nurses)
[2020, 29(4):262-269]

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The place of extracorporeal life support in cardiogenic shock.

Marc Pineton de Chambrun, Nicolas Bréchot, Alain Combes,

PURPOSE OF REVIEW:Temporary circulatory support (TCS) devices are increasingly used as a salvage therapy for patients with refractory cardiogenic shock. The exact place of the different TCS devices in the management of cardiogenic shock patients remains unclear and intensely debated. This article provides an overview on new cardiogenic shock classification, ... Read more >>

Curr Opin Crit Care (Current opinion in critical care)
[2020, 26(4):424-431]

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Hyperoxia in patients with cardiogenic shock after myocardial infarction supported with venoarterial extracorporeal membrane oxygenation.

Paul Ross, Charne Miller, Jayne Sheldrake, William McGuiness, Andrew Udy, Aidan Burrell,

BACKGROUND:Venoarterial extracorporeal membrane oxygenation (V-A ECMO) improves perfusion and oxygenation in patients with cardiogenic shock. However, it can also result in supranormal oxygen exposure. Recent evidence suggests hyperoxia may be harmful, particularly in critically ill patients. The aim of this study was to describe oxygen exposure in patients receiving V-A ... Read more >>

Aust Crit Care (Australian critical care : official journal of the Confederation of Australian Critical Care Nurses)
[2020, :]

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COVID-19 Assessment with Bedside Lung Ultrasound in a Population of Intensive Care Patients Treated with Mechanical Ventilation and ECMO.

Hasse Møller-Sørensen, Jakob Gjedsted, Vibeke Lind Jørgensen, Kristoffer Lindskov Hansen,

The COVID-19 pandemic has increased the need for an accessible, point-of-care and accurate imaging modality for pulmonary assessment. COVID-19 pneumonia is mainly monitored with chest X-ray, however, lung ultrasound (LUS) is an emerging tool for pulmonary evaluation. In this study, patients with verified COVID-19 disease hospitalized at the intensive care ... Read more >>

Diagnostics (Basel) (Diagnostics (Basel, Switzerland))
[2020, 10(7):]

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Recommendations for extracorporeal membrane oxygenation (ECMO) in COVID-19 patients : Consensus paper of the Medical University of Vienna.

Dominik Wiedemann, Martin H Bernardi, Klaus Distelmaier, Georg Goliasch, Christian Hengstenberg, Alexander Hermann, Michael Holzer, Konrad Hoetzenecker, Walter Klepetko, György Lang, Andrea Lassnigg, Günther Laufer, Ingrid A M Magnet, Klaus Markstaller, Martin Röggla, Bernhard Rössler, Peter Schellongowski, Paul Simon, Edda Tschernko, Roman Ullrich, Daniel Zimpfer, Thomas Staudinger, ,

The pandemic from the SARS-CoV‑2 virus is currently challenging healthcare systems all over the world. Maintaining appropriate staffing and resources in healthcare facilities is essential to guarantee a safe working environment for healthcare personnel and safe patient care. Extracorporeal membrane oxygenation (ECMO) represents a valuable therapeutic option in patients with severe heart ... Read more >>

Wien. Klin. Wochenschr. (Wiener klinische Wochenschrift)
[2020, :]

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Multidisciplinary team approach in acute myocardial infarction patients undergoing veno-arterial extracorporeal membrane oxygenation.

David Hong, Ki Hong Choi, Yang Hyun Cho, Su Hyun Cho, So Jin Park, Darae Kim, Taek Kyu Park, Joo Myung Lee, Young Bin Song, Jin-Oh Choi, Joo-Yong Hahn, Seung-Hyuk Choi, Jin-Ho Choi, Kiick Sung, Hyeon-Cheol Gwon, Eun-Seok Jeon, Jeong Hoon Yang,

BACKGROUND:Limited data are available on the impact of a specialized extracorporeal membrane oxygenation (ECMO) team on clinical outcomes in patients with acute myocardial infarction (AMI) complicated by cardiogenic shock (CS). This study evaluated whether specialized ECMO team is associated with improved in-hospital mortality in AMI patients undergoing veno-arterial (VA) ECMO. ... Read more >>

Ann Intensive Care (Annals of intensive care)
[2020, 10(1):83]

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Mobile Extracorporeal Membrane Oxygenation: 5-Year Experience of a French Pediatric and Neonatal Center.

Yohan Soreze, Gabriel Smagghue, Erik Hervieux, Sabestien Julliand, Mathieu Genuini, Jean-Eudes Piloquet, Mélanie Rapp, Julie Starck, Pierre-Louis Léger, Jérôme Rambaud,

OBJECTIVES:Extracorporeal membrane oxygenation is an established therapy for refractory cardiac and/or pulmonary failure that is not available in all centers. When infants and children require extracorporeal membrane oxygenation, they are sometimes placed on extracorporeal membrane oxygenation support in peripheral centers where extracorporeal membrane oxygenation is not available and then transferred ... Read more >>

Pediatr Crit Care Med (Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies)
[2020, :]

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Extracorporeal membrane oxygenation programs for COVID-19 in China.

Chenglong Li, Xiaotong Hou, Zhaohui Tong, Haibo Qiu, Yimin Li, Ang Li, ,

Crit Care (Critical Care)
[2020, 24(1):317]

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The use of extracorporeal membrane oxygenation postcardiotomy-A systematic review.

Tinotenda Harahwa, Cheryl Yan Ting Chor, Amer Harky,

OBJECTIVES:The use of extracorporeal membrane oxygenation (ECMO) in cardiac surgery has been established in cases of postcardiotomy cardiogenic shock, which is refractory to conventional therapy with inotropes and intra-aortic balloon pulsation support. We sought to examine the literature in a systematic review manner on the outcomes of using ECMO postcardiac ... Read more >>

J Card Surg (Journal of cardiac surgery)
[2020, :]

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Extracorporeal membrane oxygenation for near fatal asthma with sudden cardiac arrest.

Yuheng Lang, Yue Zheng, Xiaomin Hu, Lei Xu, Zhiqiang Luo, Dawei Duan, Peng Wu, Lei Huang, Wenqing Gao, Qunxing Ma, Meng Ning, Tong Li,

Introduction: Near fatal asthma is a life-threatening disorder that requires mechanical ventilation. Near fatal asthma and COPD with sudden cardiac arrest can worsen the outcomes. Previous studies demonstrated that ECMO is a live-saving measure for near fatal asthma that does not respond to traditional treatment.Case study: A patient with near ... Read more >>

J Asthma (The Journal of asthma : official journal of the Association for the Care of Asthma)
[2020, :1-5]

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Surge capacity and updated admission criteria: response of the NHS-commissioned national respiratory extracorporeal membrane oxygenation network to the COVID-19 pandemic.

Alex Warren, Luigi Camporota, Alain Vuylsteke,

Br J Anaesth (British journal of anaesthesia)
[2020, :]

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