Practical Clinical Application of an Extracorporeal Carbon Dioxide Removal System in Acute Respiratory Distress Syndrome and Acute on Chronic Respiratory Failure
A low-flow ECCO2R device with a large surface ML removes a relevant amount of CO2 resulting in a decreased arterial PCO2, an increased arterial pH, and in a reduced ventilatory load.
The Minnesota Mobile Extracorporeal Cardiopulmonary Resuscitation Consortium for Treatment of Out-Of-Hospital Refractory Ventricular Fibrillation: Program Description, Performance, and Outcomes
This first, community-wide ECMO-facilitated resuscitation program in the US demonstrated 100% successful cannulation, 43% functionally favorable survival rates at hospital discharge and 3 months, as well as safety. The program provides a potential model of this approach for other communities.
Mycobacterium Chimaera in Heater-Cooler Devices: An Experience in A Tertiary Hospital in Spain
Mycobacterium chimaera contamination is not always eradicated by disinfection processes. We believe that placing 3T heater–cooler devices outside the operating room is the best option in preventing M. chimaera infection during cardiac surgery.
Endothelial Function in Patients With von Willebrand Disease
In this study, the endothelial function measurements of patients with von Willebrand disease were not significantly different compared to healthy controls.
Most Deaths in Low-Risk Cardiac Surgery Could Be Avoidable
Logistic regression model identified age, previous coronary stent implantation, coronary artery bypass grafting + heart valve surgery, ≥ 2 combined heart valve surgery and hospital-acquired infection as independent predictors of AD.
Membrane Lung and Blood Pump Use During Prolonged Extracorporeal Membrane Oxygenation
This manuscript describes the use of membrane lungs and blood pumps used during ECLS support from 2002 to 2017 in over 65,000 patients reported to the Extracorporeal Life Support Organization Registry. Device longevity and complications associated with membrane lungs and blood pump are described and stratified by age group: neonates, pediatrics, and adults.
Switching to Centrifugal Pumps May Decrease Hemolysis Rates Among Pediatric ECMO Patients
These data suggest decreasing rates of hemolysis with centrifugal pumps compared to roller pumps. Since hemolysis was also associated with increased risk of death, these data support the switch from roller to centrifugal pumps at ECMO centers.
Effects of Implementing Rotational Thromboelastometry in Cardiac Surgery: A Retrospective Cohort Study
The use of thromboelastometry testing was associated with increased possibility to receive coagulation product transfusions. However, it appears that thromboelastometry testing was mostly used to assist in management of major bleeding.
CNS Complications in Adult Patients Treated With Extracorporeal Membrane Oxygenation
CNS complications appear to occur more frequently in patients requiring circulatory as opposed to respiratory support on extracorporeal membrane oxygenation and are independently associated with mortality. It remains unclear if these complications are causative of a poor outcome or a marker of severity of the underlying condition.
Cardiac Surgery Outcomes in an Epicenter of the COVID-19 Pandemic
The outcomes demonstrated herein suggest that with proper infection control, isolation, and patient selection, results similar to those observed in non-COVID series can be replicated.
Extension of Cardiopulmonary Bypass Outside the Operating Room as A Short-Term Bridge to Recovery “The Poor Man’s ECMO”
This report describes the use of conventional cardiopulmonary bypass (CPB) circuit beyond the operating room to the critical care unit to provide cardiopulmonary support for patients requiring emergent resuscitation as well as short-term support for rest and recovery of the heart.