A decade of interfacility extracorporeal membrane oxygenation transport

Tipograf, Yuliya; Liou, Peter; Oommen, Roy; Agerstrand, Cara; Abrams, Darryl; Brodie, Daniel; Bacchetta, Matthew

doi:10.1016/j.jtcvs.2018.09.139

Cited by 19 publications

(14 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…DPC placement in the patient from non-ECMO center can create multiple challenges. 16,17 In this study, 37 patients (25.9%) were cannulated in OSH and transferred to the study center for management. Among them, one-third of studied patients were cannulated and transferred by our ECMO team and two-thirds were cannulated by referral physicians and then transferred to our institution.…”

Section: Discussionmentioning

confidence: 99%

Aggressive placement of distal limb perfusion catheter in venoarterial extracorporeal membrane oxygenation

et al. 2020

View full text Add to dashboard Cite

Objective: The aim of this study is to review the impacts of aggressive placement of a distal perfusion catheter on the outcomes in patients supported with venoarterial extracorporeal membrane oxygenation via femoral cannulation. Methods: Analysis was performed with 143 consecutive femoral venoarterial extracorporeal membrane oxygenation cannulation. Patients were divided into two groups: the early period (October 2010 to December 2012, N = 47) where placement of a distal perfusion catheter was attempted percutaneously but not surgically and the late period (January 2013 to November 2018, N = 96) in which placement of distal perfusion catheter was aggressively utilized both percutaneously and surgically. The modification of venoarterial extracorporeal membrane oxygenation cannulation protocol for the late period involved (1) an immediate insertion of a distal perfusion catheter regardless of the size of femoral arterial cannula, (2) an open insertion of a distal perfusion catheter if percutaneous approach failed, and (3) when venoarterial extracorporeal membrane oxygenation cannulation was completed at a non-extracorporeal membrane oxygenation cannulation center, it was encouraged that they attempt insertion of a distal perfusion catheter at the time of cannulation. Results: In the late period, a distal perfusion catheter was placed in 96% (92/96) which was significantly increased from 66% (31/47) in the early period. Of these 92 patients in late period, nine patients (9.8%) required open direct insertion of a distal perfusion catheter. The incidence of lower limb ischemia (early vs. late period 26% vs 12%, P = 0.031) was significantly decreased in the late period. Logistic regression analyses showed that distal perfusion catheter placement was the only factor for preventing lower limb ischemia. Conclusion: Aggressive insertion of a distal perfusion catheter even utilizing surgical cut-down technique was shown to decrease the incidence of distal limb complications.

show abstract

Section: Discussionmentioning

confidence: 99%

Aggressive placement of distal limb perfusion catheter in venoarterial extracorporeal membrane oxygenation

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Some research has shown that transportation of patients on ECMO is safe and those transported have a similar prognosis to patients initiated at the ECMO centre. 134,135 Quality assurance and TCS programme evaluation should be done on a regular basis. 132,133 Hub centres should organise multidisciplinary meetings with other network hospitals to report activities and review cases, especially for major complications or deaths.…”

Section: Organisation Of Expert Centresmentioning

confidence: 99%

Temporary circulatory support for cardiogenic shock

et al. 2020

Self Cite

View full text Add to dashboard Cite

Cardiogenic shock can occur due to acute ischaemic or non-ischaemic cardiac events, or from progression of longstanding underlying heart disease. When addressing the cause of underlying disease, the management of cardiogenic shock consists of vasopressors and inotropes; however, these agents can increase myocardial oxygen consumption, impair tissue perfusion, and are frequently ineffective. An alternative approach is to temporarily augment cardiac output using mechanical devices. The use of these devices-known as temporary circulatory support systems-has increased substantially in recent years, despite being expensive, resource intensive, associated with major complications, and lacking high-quality evidence to support their use. This Review summarises the physiological basis underlying the use of temporary circulatory support for cardiogenic shock, reviews the evidence informing indications and contraindications, addresses ethical considerations, and highlights the need for further research.

show abstract

“…Indications for VV-ECMO cannulation included acute hypoxemic or hypercapnic respiratory failure, as reported in earlier publications. 2 The decision to cannulate patients with acute respiratory distress syndrome, as defined by the Berlin criteria, was analogous to ECMO enrollment criteria in the Extracorporeal Membrane Oxygenation for Severe Acute Respiratory Distress Syndrome (EOLIA) trial. 3,4 ECMO indications for bridge to lung transplantation patients were consistent with previously published work.…”

Section: Patient Selectionmentioning

confidence: 99%

“…3,4 ECMO indications for bridge to lung transplantation patients were consistent with previously published work. 2 VV-ECMO was initiated in lung transplant recipients with primary graft dysfunction and impending hypoxemic respiratory failure as indicated by a rapid increase in oxygen requirement or a newfound need for mechanical ventilation minimize the incidence of reintubation and graft injury while allowing for allograft recovery. 5 Additional considerations for cannulation included intact neurologic status, the absence of active bacteremia or overt multiorgan failure, and the potential to participate in physical therapy.…”

Section: Patient Selectionmentioning

confidence: 99%