Development and Evaluation of An Abbreviated Extracorporeal Membrane Oxygenation (ECMO) Course for Nonsurgical Physicians and Nurses
We developed an accelerated 1‐day ECMO course. Clinicians’ confidence and knowledge assessments improved and 88% of teams could successfully initiate venoarterial ECMO after the course.
Sublingual Microcirculation in Patients With SARS-Cov-2 Undergoing Veno-Venous Extracorporeal Membrane Oxygenation
Our results showed an altered sublingual microcirculation in patients receiving VV-ECMO for severe SARS-CoV-2 and suggest a potential contribution of endothelia dysfunction to determine microvascular alteration.
Hemolysis and Plasma Free Hemoglobin During Extracorporeal Membrane Oxygenation Support: From Clinical Implications to Laboratory Details
Here, we propose a review dedicated to extracorporeal membrane oxygenation (ECMO)-associated hemolysis, with a particular emphasis on pathophysiology, prevalence, and clinical consequences of such complication.
Intravascular Hemolysis and Complications During Extracorporeal Membrane Oxygenation
Hemolysis is an unavoidable side effect of current ECMO technology and there are no approved treatments or treatment guidelines for the neonatal population. Therefore, increased vigilance, recognition of the severity of the hemolytic process, and prompt management are essential to prevent severe endothelial injury leading to proinflammatory and prothrombotic events.
Comparison of Atrio-Femoral and Femoro-Atrial Venovenous Extracorporeal Membrane Oxygenation in Adult.
Atrio-femoral configuration in VV ECMO was associated with a higher maximum achieved ECMO flow, less fluid gain in first 3 days of ECMO and more successful awake ECMO.
Iatrogenic Extracorporeal Membrane Oxygenator Rupture: Successful Management of a Unique Crisis
This article reports a rare complication related to the mechanical circulatory support and its successful management.
Comparison of Mechanical Cardiopulmonary Support Strategies During Lung Transplantation
The optimal strategy for intraoperative cardiopulmonary support during lung transplantation remains an area of debate. Current data suggest that off pump is associated with better outcomes and could be considered whenever feasible.
Platelet Factor-4 Concentration in Adult Veno-Arterial ECMO Patients
Our data suggest that PF4 concentration is mildly elevated during VA ECMO compared to control plasma. Estimated PF4-heparin ratios were not optimal for HIT antibody formation. These data support epidemiologic studies where HIT incidence is low during VA ECMO.
Peripheral Versus Central Extracorporeal Membrane Oxygenation for Postcardiotomy Shock: Multicenter Registry, Systematic Review, And Meta-Analysis
In patients with postcardiotomy shock treated with VA-ECMO, central cannulation was associated with greater in-hospital mortality than peripheral cannulation.
Extracorporeal Membrane Oxygenation in the Emergency Department
Extracorporeal membrane oxygenation (ECMO) is an invasive form of artificial life support used for severe cardiac and/or pulmonary failure. The worldwide use of ECMO is rapidly growing and indications for its application are expanding.
Left Ventricular Unloading is Associated with Lower Mortality in Cardiogenic Shock Patients Treated with Veno-Arterial Extracorporeal Membrane Oxygenation: Results From An International, Multicenter Cohort Study
These findings support use of left ventricular unloading in cardiogenic shock patients treated with VA-ECMO and call for further validation, ideally in a randomized, controlled trial.
Extracorporeal Membrane Oxygenation For COVID-19 Induced Hypoxia: Single-Center Study
ECMO is a supportive intervention for COVID-19 associated pneumonia that could be considered if the optimum mechanical ventilation is deemed ineffective.