Extracorporeal membrane oxygenation for postpneumonectomy ARDS

The Outcome of Extracorporeal Life Support After General Thoracic Surgery: Timing of Application

“…ECLS is an advanced technology for refractory cardiopulmonary failure. Previous reports demonstrated the effectiveness of VA ECLS for cardiogenic shock or refractory heart failure as a bridge to recovery or bridge to a ventricular assist device or heart transplantation, and VV ECLS for severe respiratory failure as a bridge to recovery or bridge to lung transplantation compared with conventional therapy, suggesting that ECLS can be also applied after general thoracic surgery with lifethreatening cardiopulmonary complications [12][13][14][15]. However, these were case reports or included other operation types.…”

“…Cardiovascular complications can occur in as many as 30% of patients after general thoracic surgery and can also lead to increased morbidity and mortality [11]. ECLS can be a useful therapeutic option in these lifethreatening circumstance [7,[12][13][14][15]. However, most of these reports were case reports.…”

Avaliação dos registros de enfermagem sobre oxigenação por membrana extracorpórea em equipe multidisciplinar treinada

“…Ademais, o custo da utilização de ECMO durante cinco dias de terapia está em torno de R$34.000,00 (27) . Deste montante, aproximadamente R$26.000,00 está relacionado a circuito, cânulas e materiais médico-hospitalares e R$6.000,00 a diárias (27) .…”

“…Ademais, o custo da utilização de ECMO durante cinco dias de terapia está em torno de R$34.000,00 (27) . Deste montante, aproximadamente R$26.000,00 está relacionado a circuito, cânulas e materiais médico-hospitalares e R$6.000,00 a diárias (27) . Portanto, certamente trata-se de uma terapia de alto custo, que exige estrutura física, material e humana adequada, a qual, através de um RE de qualidade, pode contribuir para organização de todos os gastos e evitar possíveis glossas das operadoras de saúde.…”

Critical care medicine: extracorporeal oxygenation is feasible in Brazil

“…( 18 ) The exchange of information between centers with experience in the method and professional qualifications clearly contributed to these results. In Brazil, the Park group ( 19 ) and others ( 20 ) have demonstrated the feasibility of using the technique to support patients with ARDS refractory to conventional treatment in our units. However, in our country, this know-how is restricted to a few groups, and the use of ECMO in most services remains just a possibility.…”