Continuous near-infrared reflectance spectroscopy monitoring to guide distal perfusion can minimize limb ischemia surgery for patients requiring femoral venoarterial extracorporeal life support

Vinogradsky, Alice; Kurlansky, Paul; Ning, Yuming; Kirschner, Michael; Beck, Jürgen; Brodie, Daniel; Kaku, Yuji; Fried, Justin; Takeda, Koji

doi:10.1016/j.jvs.2022.12.057

Cited by 2 publications

(3 citation statements)

References 33 publications

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“…Saturation levels which are low (<50%) or a large saturation differential (>15%) between cannulated and contralateral limbs may prompt DPC placement. 8…”

Section: Venoarterial Ecmomentioning

confidence: 99%

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ECMO in trauma care: What you need to know

Flatley,

Sams,

Biscotti

et al. 2023

J Trauma Acute Care Surg

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Over the past ten years, extracorporeal membrane oxygenation (ECMO) use in trauma patients has increased significantly. This includes adult and pediatric trauma patients and even combat casualties. Most ECMO applications are in a venovenous (VV ECMO) configuration for acute hypoxemic respiratory failure or anatomic injuries that require pneumonectomy or extreme lung rest in a patient with insufficient respiratory reserve. In this narrative review, we summarize the most common indications for VV ECMO and other forms of ECMO support used in critically injured patients, underscore the importance of early ECMO consultation or regional referral, review the technical aspects of ECMO cannulation and management, and examine the expected outcomes for these patients. In addition, we evaluate the data where it exists to try to debunk some common myths surrounding ECMO management.

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“…Saturation levels which are low (<50%) or a large saturation differential (>15%) between cannulated and contralateral limbs may prompt DPC placement. 8…”

Section: Venoarterial Ecmomentioning

confidence: 99%

“…This technology employs oximeter pads, which are placed on the calves of both lower extremities. Saturation levels which are low (<50%) or a large saturation differential (>15%) between cannulated and contralateral limbs may prompt DPC placement 8 …”

Section: Other Cannulation Strategiesmentioning

confidence: 99%

ECMO in trauma care: What you need to know

Flatley,

Sams,

Biscotti

et al. 2023

J Trauma Acute Care Surg

View full text Add to dashboard Cite

show abstract

“…Current ELSO guidelines suggest near-infrared spectroscopy for monitoring distal limb perfusion [ 53 ]. Several studies have suggested that monitoring calf tissue oxygen saturation using near-infrared spectroscopy may be useful for detecting distal limb ischemia [ 115 , 116 ].…”

Section: Key Components Of the Ecpr Protocolmentioning

confidence: 99%

Benefits, key protocol components, and considerations for successful implementation of extracorporeal cardiopulmonary resuscitation: a review of the recent literature

Jeung,

Jung,

Gumucio

et al. 2023

Clin Exp Emerg Med

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The application of venoarterial extracorporeal membrane oxygenation (ECMO) in patients unresponsive to conventional cardiopulmonary resuscitation (CPR) has significantly increased in recent years. To date, three published randomized trials have investigated the use of extracorporeal CPR (ECPR) in adults with refractory out-of-hospital cardiac arrest. Although these trials reported inconsistent results, they suggest that ECPR may have a significant survival benefit over conventional CPR in selected patients only when performed with strict protocol adherence in experienced emergency medical services–hospital systems. Several studies suggest that identifying suitable ECPR candidates and reducing the time from cardiac arrest to ECMO initiation are key to successful outcomes. Prehospital ECPR or the rendezvous approach may allow more patients to receive ECPR within acceptable timeframes than ECPR initiation on arrival at a capable hospital. ECPR is only one part of the system of care for resuscitation of cardiac arrest victims. Optimizing the chain of survival is critical to improving outcomes of patients receiving ECPR. Further studies are needed to find the optimal strategy for the use of ECPR.

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Continuous near-infrared reflectance spectroscopy monitoring to guide distal perfusion can minimize limb ischemia surgery for patients requiring femoral venoarterial extracorporeal life support

Cited by 2 publications

References 33 publications

ECMO in trauma care: What you need to know

ECMO in trauma care: What you need to know

Benefits, key protocol components, and considerations for successful implementation of extracorporeal cardiopulmonary resuscitation: a review of the recent literature

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