Mobile Extracorporeal Membrane Oxygenation: 5-Year Experience of a French Pediatric and Neonatal Center
We describe one of the largest cohorts of infants and children transported by a mobile unit while on extracorporeal membrane oxygenation. Our findings confirm that it is safe to start extracorporeal membrane oxygenation in a referring center and to transport patients using an extracorporeal membrane oxygenation mobile team.
Desflurane and Sevoflurane Concentrations in Blood Passing Through the Oxygenator During Cardiopulmonary Bypass: A Randomized Prospective Pilot Study
Our results demonstrated that the blood concentrations of desflurane and sevoflurane passing through oxygenators used during CPB were similar to those in the human lung control.
Intraoperative Hemoadsorption in Patients With Native Mitral Valve Infective Endocarditis
These data suggest that intraoperative hemoadsorption may improve surgical outcome in patients with mitral valve endocarditis.
Near-Infrared Spectroscopy in Adult Circulatory Shock: A Systematic Review
Near-infrared spectroscopy-derived StO2 can predict mortality in circulatory shock, but high-quality data on the impact of NIRS monitoring are lacking.
ECCO2R Therapy in the ICU: Consensus of A European Round Table Meeting
Insights from this group of experienced physicians suggest that ECCO2R therapy may be an effective supportive treatment for adults with ARDS or ae-COPD. Further evidence from randomised clinical trials and/or high-quality prospective studies is needed to better guide decision making.
Extracorporeal Blood Purification Treatment Options For COVID-19: The Role of Immunoadsorption
Several extracorporeal blood purification therapies are now available, and most of them target endotoxins and/or the cytokines and aim improving the immune response. For this purpose, plasmapheresis and immunoadsorption may be an important adjunctive treatment option to manage the complications caused by cytokine storm in critically ill patients with COVID-19.
Thromboelastography Profiles of Critically Ill Patients With Coronavirus Disease 2019
A large proportion of critically ill patients with coronavirus disease 2019 have hypercoagulable thromboelastography profiles with additional derangements related to fibrinogen and platelet function. As the majority of patients have an elevated thromboelastography maximum amplitude, a follow-up study evaluating platelet aggregation would be instructive.
Conventional Versus Minimally Invasive Extracorporeal Circulation In Patients Undergoing Cardiac Surgery: Protocol For A Randomised Controlled Trial (COMICS)
The trial is feasible but criteria for progressing to a full trial were not met on time. The Trial Steering and Data Monitoring Committees have recommended that the trial should currently continue.
Hemodynamic Monitoring in Patients With Venoarterial Extracorporeal Membrane Oxygenation
This article provides an overview of VA-ECMO pathophysiology, and reviews current knowledge of hemodynamic monitoring assessments in patients with peripheral VA-ECMO.
Regional Oxygen Saturation Change Rate for Detection of Leg Ischemia in Minimally Invasive Cardiac Surgery
ΔrSO2 measurement by near-infrared spectroscopy can facilitate distal leg perfusion monitoring and assist surgeons in preventing critical leg ischemia during minimally invasive cardiac surgery.
The Contact Activation System: Problems and Paradoxes for Cardiac Anesthesiologists
In searching for what might be a revolutionary way to manage CPB, understanding pathology of the contact activation system, such as HAE, represents a critically important point for cardiac anesthesiologists to consider.
Nitric Oxide Added to the Sweep Gas of the Oxygenator during Cardiopulmonary Bypass in Infants: A Pilot Randomized Controlled Trial
Nitric oxide added to the sweep gas of the oxygenator during CPB in infants did not have an appreciable effect on preservation of platelet count, platelet responsiveness to agonist, or clinical outcomes.