Extracorporeal respiratory support in adult patients

Romano, Thiago Gomes; Mendes, Pedro Vitale; Park, Marcelo; Costa, Eduardo Leite Vieira

doi:10.1590/s1806-37562016000000299

Cited by 17 publications

(18 citation statements)

References 58 publications

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“…( 9 , 24 ) In addition, the application of rescue therapy, such as the use of the prone position before ECMO, is essential whenever possible because this therapy is inexpensive and there is strong evidence that its use improves patient survival. ( 25 ) Second, the use of ECMO support can be optimized by providing adequate training and experience to the multidisciplinary team ( 18 ) and by the involvement of professionals who possess comprehensive knowledge of emergency care and possible complications during ECMO support. ( 26 - 28 )…”

Section: Discussionmentioning

confidence: 99%

“…( 17 ) These criteria were modified slightly because the initial results were suboptimal due to occasional problems in the initial experience. ( 14 , 18 - 20 ) The current criteria are described in the Supplementary Material. Although the contraindication criteria were restrictive, special situations that generated doubts were discussed by our group.…”

Section: Methodsmentioning

confidence: 99%

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Characterization of patients transported with extracorporeal respiratory and/or cardiovascular support in the State of São Paulo, Brazil

Ho¹,

Mendes²,

Melro³

et al. 2018

Revista Brasileira De Terapia Intensiva

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ObjectiveTo characterize the transport of severely ill patients with extracorporeal respiratory or cardiovascular support.MethodsA series of 18 patients in the state of São Paulo, Brazil is described. All patients were consecutively evaluated by a multidisciplinary team at the hospital of origin. The patients were rescued, and extracorporeal membrane oxygenation support was provided on site. The patients were then transported to referral hospitals for extracorporeal membrane oxygenation support. Data were retrieved from a prospectively collected database.ResultsFrom 2011 to 2017, 18 patients aged 29 (25 - 31) years with a SAPS 3 of 84 (68 - 92) and main primary diagnosis of leptospirosis and influenza A (H1N1) virus were transported to three referral hospitals in São Paulo. A median distance of 39 (15 - 82) km was traveled on each rescue mission during a period of 360 (308 - 431) min. A median of one (0 - 2) nurse, three (2 - 3) physicians, and one (0 - 1) physical therapist was present per rescue. Seventeen rescues were made by ambulance, and one rescue was made by helicopter. The observed complications were interruption in the energy supply to the pump in two cases (11%) and oxygen saturation < 70% in two cases. Thirteen patients (72%) survived and were discharged from the hospital. Among the nonsurvivors, there were two cases of brain death, two cases of multiple organ dysfunction syndrome, and one case of irreversible pulmonary fibrosis.ConclusionsTransportation with extracorporeal support occurred without serious complications, and the hospital survival rate was high.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Characterization of patients transported with extracorporeal respiratory and/or cardiovascular support in the State of São Paulo, Brazil

Ho¹,

Mendes²,

Melro³

et al. 2018

Revista Brasileira De Terapia Intensiva

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“…ECMO is a method that can provide blood oxygenation, remove carbon dioxide, and ensure circulatory support when there is severe hemodynamic instability, as well as enabling protective/ultraprotective mechanical ventilation. 3 …”

Section: To the Editormentioning

confidence: 99%

Intraoperative support with venovenous extracorporeal membrane oxygenation for complex thoracic oncologic resection

et al. 2020

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“…Venöz hiperoksi parsiyel vazokonstriksiyon ile pulmoner vasküler direnç (PVR) azalmasına yardımcı olur. (19,20) . (21)(22)(23) .…”

Section: Karbondioksit Alınmasıunclassified

Extracorporeal Membrane Oxygenation

Bayar¹,

Kosovalı²

2018

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Ekstrakorporeal membran oksijenizasyonu (ECMO) geleneksel tedaviye yanıt vermeyen hastalarda solunum ve/veya kardiyak fonksiyonların geçici olarak desteklenmesi işlemidir. Büyük damarlara yerleştirilen kanüller aracılığıyla eksternal pompa ile hastadan alınan kan membrandan (oksijenatör) geçirilip gaz değişimi sağlandıktan sonra hastaya tekrar geri verilmektedir. Genellikle pulmoner (venö-venöz) ve kardiyopulmoner (venö-arteriyel) destek için iki şekilde uygulanır. Akut ciddi geri dönüşümlü hastalıklarda sınırlı endikasyonlarla uygulanan ECMO sırasında hastanın yakından monitörizasyonu gereklidir. Hasta ve ECMO sistemine bağlı olarak çeşitli komplikasyonlarla karşılaşılabilir. Bu derlemede özellikle solunumsal destek amaçlı ECMO uygulamasının bileşenleri, fizyolojisi, komplikasyonları ve yönetimi hakkında bilgiler verilmesi amaçlanmıştır.

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Extracorporeal respiratory support in adult patients

Cited by 17 publications

References 58 publications

Characterization of patients transported with extracorporeal respiratory and/or cardiovascular support in the State of São Paulo, Brazil

Characterization of patients transported with extracorporeal respiratory and/or cardiovascular support in the State of São Paulo, Brazil

Intraoperative support with venovenous extracorporeal membrane oxygenation for complex thoracic oncologic resection

Extracorporeal Membrane Oxygenation

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