12,076 results match your criteria Extracorporeal Membrane Oxygenation


[Extracorporeal Membrane Oxygenation in Thoracic Surgery: Establishing Functional and Technical Operability].

Zentralbl Chir 2019 Jan 21. Epub 2019 Jan 21.

Klinik für Herz- und Thoraxchirurgie, Sektion Thoraxchirurgie, Universitätsklinikum Münster, Deutschland.

Functional and technical operability has to be evaluated and defined prior to thoracic surgical procedures. Sometimes patients assigned to thoracic surgery procedures have to be declared inoperable due to functional und technical limitations. Extracorporeal lung support is an important tool to establish functional and technical operability in patients undergoing thoracic surgical procedures. Read More

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http://dx.doi.org/10.1055/a-0800-0178DOI Listing
January 2019

Development of the Pediatric Extracorporeal Membrane Oxygenation Prediction Model for Risk-Adjusting Mortality.

Pediatr Crit Care Med 2019 Jan 18. Epub 2019 Jan 18.

Department of Pediatrics, Inova Fairfax Hospital, Fall Church, VA.

Objectives: To develop a prognostic model for predicting mortality at time of extracorporeal membrane oxygenation initiation for children which is important for determining center-specific risk-adjusted outcomes.

Design: Multivariable logistic regression using a large national cohort of pediatric extracorporeal membrane oxygenation patients.

Setting: The ICUs of the eight tertiary care children's hospitals of the Collaborative Pediatric Critical Care Research Network. Read More

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http://dx.doi.org/10.1097/PCC.0000000000001882DOI Listing
January 2019

Extracorporeal Membrane Oxygenation Bridge to No Recovery.

Circulation 2019 Jan;139(4):428-430

Division of Pulmonary Allergy and Critical Care (K.M.P.), Department of Medicine, Columbia University Medical Center, New York, NY.

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http://dx.doi.org/10.1161/CIRCULATIONAHA.118.036304DOI Listing
January 2019

Improving Outcomes in INTERMACS 1 Category 1 Patients with Pre-LVAD, Awake Venous-Arterial Extracorporeal Membrane Oxygenation Support.

ASAIO J 2019 Jan 16. Epub 2019 Jan 16.

From the Section of Cardiac Surgery, Yale School of Medicine, New Haven, Connecticut.

Effective strategies to optimize Interagency Registry for Mechanically Assisted Circulatory Support (INTERMACS 1) patients are in much need. A novel awake venous-arterial extracorporeal membrane oxygenation (aVA ECMO) allows for clinical assessments while temporarily supporting biventricular function and stabilizing end-organ functions. The aim of the study was to assess outcomes of patients with aVA ECMO support before durable left ventricular assist device (LVAD) implantation. Read More

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http://dx.doi.org/10.1097/MAT.0000000000000908DOI Listing
January 2019

ARDS from miliary tuberculosis successfully treated with ECMO.

Respir Med Case Rep 2019 5;26:165-167. Epub 2019 Jan 5.

Landspitali University Hospital, Department of Anaesthesia and Intensive Care, Hringbraut, 101, Reykjavik, Iceland.

Tuberculosis is a rare cause of (ARDS) and mortality rates are high in tuberculosis patients that need treatment with mechanical ventilation. Experience of the use of (ECMO) in such circumstances is scarce. We report the case of an 18 year old man where prolonged therapy (50 days) with (ECMO) allowed extensive lung damage from miliary tuberculosis to heal. Read More

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http://dx.doi.org/10.1016/j.rmcr.2019.01.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6325082PMC
January 2019

Infections and outbreaks of nontuberculous mycobacteria in hospital settings.

Curr Treat Options Infect Dis 2018 Jun 25;10(2):169-181. Epub 2018 Apr 25.

Massachusetts General Hospital, Division of Infectious Diseases, 55 Fruit Street, Boston, MA 02114 USA.

Purpose Of Review: Non-tuberculous mycobacterial [NTM] infections in the hospital setting are a complex and often challenging entity. The goal of this review is to discuss diagnostic and treatment strategies for established as well as emerging nosocomial NTM infections.

Recent Findings: NTM outbreaks have been documented in a variety of hospital settings. Read More

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http://dx.doi.org/10.1007/s40506-018-0165-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6334766PMC

Arterial lactate before initiation of venoarterial extracorporeal membrane oxygenation for postcardiotomy shock improves postimplant outcome prediction.

J Thorac Cardiovasc Surg 2019 Jan 17. Epub 2019 Jan 17.

Section of Cardiothoracic Surgery and Anesthesiology, Division of Perioperative Medicine and Intensive Care, Karolinska University Hospital, Stockholm, Sweden; Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.

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http://dx.doi.org/10.1016/j.jtcvs.2018.12.046DOI Listing
January 2019

Arterial lactate level: A simple and effective tool during extracorporeal membrane oxygenation.

J Thorac Cardiovasc Surg 2019 Jan 16. Epub 2019 Jan 16.

Department of Anesthesia and Intensive Care Medicine, San Gerardo Hospital, Monza, Italy.

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http://dx.doi.org/10.1016/j.jtcvs.2018.11.120DOI Listing
January 2019

Variables of importance in the Scientific Registry of Transplant Recipients database predictive of heart transplant waitlist mortality.

Am J Transplant 2019 Jan 19. Epub 2019 Jan 19.

Department of Public Health Sciences, Division of Biostatistics, University of Miami, Miami, FL, USA.

The pre-listing variables essential for creating an accurate heart transplant allocation score based on survival are unknown. To identify these we studied mortality of adults on the active heart transplant waiting list in the Scientific Registry of Transplant Recipients database from January 1, 2004-August 31, 2015. There were 33,069 candidates awaiting heart transplantation: 7,681 UNOS Status 1A, 13,027 Status 1B, and 12,361 Status 2. Read More

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http://dx.doi.org/10.1111/ajt.15265DOI Listing
January 2019

Lung transplantation via cardiopulmonary bypass: excellent survival outcomes from extended criteria donors.

Gen Thorac Cardiovasc Surg 2019 Jan 18. Epub 2019 Jan 18.

Department of Thoracic Surgery/Organ Transplant Center, Okayama University Hospital, Okayama, Japan.

Objectives: The role of intraoperative cardiopulmonary bypass (CPB) in lung transplant (LTx) surgery is controversial. CPB enables slow pulmonary reperfusion and initial ventilation with low oxygen concentrations, both theoretically protective of transplanted lungs. In this study, we explored clinical outcomes following extended criteria donor LTx surgery implementing a thoroughly protective allograft reperfusion strategy using CPB. Read More

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http://dx.doi.org/10.1007/s11748-019-01067-wDOI Listing
January 2019

Extracorporeal membrane oxygenation for grade 3 primary graft dysfunction after lung transplantation: long-term outcomes.

Clin Transplant 2019 Jan 18:e13480. Epub 2019 Jan 18.

Thoracic Surgery Department, Foch Hospital, Suresnes, France.

Introduction: Extracorporeal membrane oxygenation (ECMO) is an efficient and innovative therapeutic tool for primary graft dysfunction (PGD). However, its effect on survival and long-term lung function are not well-known. This study evaluated those parameters in patients with PGD requiring ECMO. Read More

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http://doi.wiley.com/10.1111/ctr.13480
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http://dx.doi.org/10.1111/ctr.13480DOI Listing
January 2019
1 Read

Acquired von Willebrand syndrome in patients treated with veno-arterial extracorporeal membrane oxygenation.

Cardiovasc Interv Ther 2019 Jan 17. Epub 2019 Jan 17.

Department of Cardiology, Tenri Hospital, 200 Mishima-cho, Tenri, Nara, 632-8552, Japan.

Veno-arterial extracorporeal membrane oxygenation (VA ECMO) is a powerful device for treatment of patients with life-threatening heart failure. Although bleeding is often associated with VA ECMO and sometimes results in a fatal outcome, its precise causes remain unknown. On the other hand, excessive high shear stress in the cardiovascular system causes acquired von Willebrand syndrome (aVWS), characterized by loss of von Willebrand factor (vWF) large multimers. Read More

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http://link.springer.com/10.1007/s12928-019-00568-y
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http://dx.doi.org/10.1007/s12928-019-00568-yDOI Listing
January 2019
1 Read

Coagulation Derangements in Patients With Refractory Cardiac Arrest Treated With Extracorporeal Cardiopulmonary Resuscitation.

J Cardiothorac Vasc Anesth 2018 Nov 14. Epub 2018 Nov 14.

Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy. Electronic address:

Objective: Extracorporeal cardiopulmonary resuscitation (eCPR) with venoarterial extracorporeal membrane oxygenation (VA-ECMO) is gaining importance as a rescue therapy for refractory cardiac arrest. VA-ECMO, especially in the setting of eCPR, is plagued by hemorrhagic and thromboembolic complications. The authors' aims were to describe the coagulation profile in refractory cardiac arrest and assess its prognostic role. Read More

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http://dx.doi.org/10.1053/j.jvca.2018.11.014DOI Listing
November 2018

Lung Transplantation as Successful Treatment of End-stage Idiopathic Pleuroparenchymal Fibroelastosis: A Case Report.

Transplant Proc 2018 Jun 28. Epub 2018 Jun 28.

Thoracic Surgery and Lung Transplant Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy; Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy.

Pleuroparenchymal fibroelastosis (PPFE) is a rare condition, characterized by predominantly upper-lobe pleural and subjacent parenchymal fibrosis, the latter being intra-alveolar with accompanying elastosis of the alveolar walls that leads a clinical progression to respiratory failure. This condition may not be as rare as it seems to be, because nowadays the increasing awareness among specialists is raising the number of new diagnoses. Limited data are available about the prognosis, both for secondary and idiopathic forms. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00411345183084
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http://dx.doi.org/10.1016/j.transproceed.2018.04.071DOI Listing
June 2018
1 Read

Liver Transplant From Controlled Cardiac Death Donors Using Normothermic Regional Perfusion: Comparison With Liver Transplants From Brain Dead Donors.

Transplant Proc 2018 Jun 28. Epub 2018 Jun 28.

Department of General Surgery, University Hospital "Marqués de Valdecilla," Santander, Spain.

Background: Liver transplantation from donors after either controlled or uncontrolled cardiac death (DCD) is associated with considerable rates of primary nonfunction (PNF) and ischemic cholangiopathy (IC). Normothermic regional perfusion (NRP) could significantly reduce such rates.

Methods: Retrospective study to analyze short-term (mortality, PNF, vascular complications) and long-term (IC, survival) complications in 11 liver transplants from controlled DCDs using NRP with extracorporeal membrane oxygenation (ECMO) (group 1). Read More

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http://dx.doi.org/10.1016/j.transproceed.2018.04.067DOI Listing
June 2018
1 Read

A decade of interfacility extracorporeal membrane oxygenation transport.

J Thorac Cardiovasc Surg 2018 Nov 29. Epub 2018 Nov 29.

Department of Thoracic Surgery, Vanderbilt University Medical Center, Nashville, Tenn. Electronic address:

Objective: Extracorporeal membrane oxygenation (ECMO) is used to provide support for patients with cardiopulmonary failure. Best available medical management often fails in these patients and referring hospitals have no further recourse for escalating care apart from transfer to a tertiary facility. In severely unstable patients, the only option might be to use ECMO to facilitate safe transport. Read More

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http://dx.doi.org/10.1016/j.jtcvs.2018.09.139DOI Listing
November 2018

Neuron-Specific-Enolase as a Predictor of the Neurologic Outcome after Cardiopulmonary Resuscitation in Patients on ECMO.

Resuscitation 2019 Jan 14. Epub 2019 Jan 14.

Department of General and Interventional Cardiology, University Heart Center Hamburg Eppendorf, Hamburg, Germany. Electronic address:

Background: Neuron-Specific-Enolase (NSE) is frequently used to predict the neurologic outcome in persistently unconscious patients after cardiopulmonary resuscitation (CPR). However, its predictive value is unclear in the setting of veno-arterial extracorporeal membrane oxygenation therapy (ECMO). Aim of this project is to evaluate the predictive value of NSE in ECMO patients. Read More

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http://dx.doi.org/10.1016/j.resuscitation.2019.01.011DOI Listing
January 2019

Acute Neurologic Complications During Extracorporeal Membrane Oxygenation: A Way to Improve Neurologic Noninvasive Monitoring.

Crit Care Med 2019 Feb;47(2):e155-e156

Department of Clinical Neurophysiology, CHU Lille, F-59000 Lille, France, and CHU Lille, Critical Care Center, F-59000 Lille, France; CHU Lille, Critical Care Center, F-59000 Lille, France; Department of Clinical Neurophysiology, CHU Lille, F-59000 Lille, France.

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http://dx.doi.org/10.1097/CCM.0000000000003501DOI Listing
February 2019
2 Reads

Spontaneous echo contrast mimicking aortic root thrombus in a patient supported with extracorporeal membrane oxygenation.

Echocardiography 2019 Jan 16. Epub 2019 Jan 16.

Department of Cardiothoracic Surgery, The Alfred Hospital, Melbourne, Victoria, Australia.

Aortic root spontaneous echo contrast is a rare but significant finding. We report a 31-year-old female who was placed on venoarterial extracorporeal membrane oxygenation emergently for acute mitral regurgitation secondary to papillary muscle rupture. Following stabilization, subsequent transesophageal echocardiography suggested aortic root thrombus and prompted emergent surgery. Read More

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http://dx.doi.org/10.1111/echo.14265DOI Listing
January 2019

Forecasting Extracorporeal Membrane Oxygenation Outcomes: Rain or Shine?

J Cardiothorac Vasc Anesth 2018 Sep 21. Epub 2018 Sep 21.

Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.

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http://dx.doi.org/10.1053/j.jvca.2018.09.021DOI Listing
September 2018

Postoperative acute kidney injury in lung transplant recipients.

Interact Cardiovasc Thorac Surg 2019 Jan 10. Epub 2019 Jan 10.

Respiratory Diseases and Lung Transplantation Unit, University Hospital of Siena (AOUS), Siena, Italy.

Objectives: Acute kidney injury (AKI) is a common postoperative complication after lung transplantation. The aim of the present study was to evaluate the incidence of AKI in lung transplant patients and its effect on patients and graft outcome in relation to degree of severity.

Methods: Data from 135 patients who underwent lung transplant in the same Italian institution were recorded retrospectively and analysed (69 unilateral and 66 bilateral lung transplants, age 51. Read More

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http://dx.doi.org/10.1093/icvts/ivy355DOI Listing
January 2019
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Flexible and Stable Omniphobic Surfaces based on Biomimetic Repulsive Air-Spring Structures.

ACS Appl Mater Interfaces 2019 Jan 16. Epub 2019 Jan 16.

In artificial biological circulation systems such as extracorporeal membrane oxygenation (ECMO), surface wettability is a critical factor in blood clotting problems. Therefore, to prevent blood from clotting, omniphobic surfaces are required to repel both hydrophilic and oleophilic liquids and reduce surface friction. However, most of omniphobic surfaces have been fabricated by combining chemical reagent coating and physical structures and/or using rigid materials such as silicon and metal. Read More

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http://dx.doi.org/10.1021/acsami.8b20521DOI Listing
January 2019

Extracellular vesicles: biomarkers and regulators of vascular function during extracorporeal circulation.

Oncotarget 2018 Dec 14;9(98):37229-37251. Epub 2018 Dec 14.

Keenan Research Centre for Biomedical Science, St Michael's Hospital, Toronto, ON, Canada.

Extracellular vesicles (EVs) are generated at increased rates from parenchymal and circulating blood cells during exposure of the circulation to abnormal flow conditions and foreign materials associated with extracorporeal circuits (ExCors). This review describes types of EVs produced in different ExCors and extracorporeal life support (ECLS) systems including cardiopulmonary bypass circuits, extracorporeal membrane oxygenation (ECMO), extracorporeal carbon dioxide removal (ECCOR), apheresis, dialysis and ventricular assist devices. Roles of EVs not only as biomarkers of adverse events during ExCor/ECLS use, but also as mediators of vascular dysfunction are explored. Read More

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http://dx.doi.org/10.18632/oncotarget.26433DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6324688PMC
December 2018

Management of an adult patient with sickle cell disease and acute chest syndrome by veno-venous extracorporeal membrane oxygenation.

Ann Hematol 2019 Jan 14. Epub 2019 Jan 14.

Department I of Internal Medicine, Critical Care Medicine, University Hospital of Cologne, Cologne, Germany.

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http://dx.doi.org/10.1007/s00277-019-03596-zDOI Listing
January 2019

Ceftolozane-tazobactam pharmacokinetics during extracorporeal membrane oxygenation in a lung transplant recipient.

Antimicrob Agents Chemother 2019 Jan 14. Epub 2019 Jan 14.

Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.

Ceftolozane-tazobactam (C/T) pharmacokinetics during extracorporeal membrane oxygenation (ECMO) has not been previously studied. In this work we report on the C/T plasmatic levels in a lung transplant (LTX) recipient during ECMO, treated with C/T (i.v. Read More

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http://dx.doi.org/10.1128/AAC.02131-18DOI Listing
January 2019

Venovenous extracorporeal membrane oxygenation for acute respiratory distress syndrome: a systematic review and meta-analysis.

Lancet Respir Med 2019 Jan 11. Epub 2019 Jan 11.

Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, ON, Canada; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada; University Health Network and Sinai Health System, Toronto, ON Canada.

Background: Use of extracorporeal membrane oxygenation (ECMO) in adults with severe acute respiratory distress syndrome has increased in the past 10 years. However, the efficacy of venovenous ECMO in people with acute respiratory distress syndrome is uncertain according to the most recent data. We aimed to estimate the effect of venovenous ECMO on mortality from acute respiratory distress syndrome. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22132600183045
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http://dx.doi.org/10.1016/S2213-2600(18)30452-1DOI Listing
January 2019
5 Reads

Use veno-venous extra corporeal membrane oxygenation in elderly patients with post-cardiotomy hypoxia: the changing paradigm of respiratory support in adult respiratory distress syndrome.

J Cardiothorac Surg 2019 Jan 14;14(1):10. Epub 2019 Jan 14.

Department of Cardiothoracic Surgery, Royal Papworth Hospital, Cambridge, CB23 3RE, UK.

Background: Veno-venous extracorporeal membrane oxygenation (VV-ECMO) support for ARDS treatment after cardiac surgery has progressed remarkably in the last 20 years. However, one of the limitations of a successful recover is age, being a powerful predictor of mortality.

Case Presentation: In this case report we discuss a 78-year-old man who underwent aortic valve and aortic root replacement. Read More

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https://cardiothoracicsurgery.biomedcentral.com/articles/10.
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http://dx.doi.org/10.1186/s13019-019-0833-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6332628PMC
January 2019
2 Reads

Catecholaminergic Polymorphic Ventricular Tachycardia: The Cardiac Arrest Where Epinephrine Is Contraindicated.

Pediatr Crit Care Med 2019 Jan 11. Epub 2019 Jan 11.

Green Lane Paediatric and Congenital Cardiac Services, Starship Children's Hospital, Auckland, New Zealand.

Objectives: To raise awareness among pediatric intensive care specialists of catecholaminergic polymorphic ventricular tachycardia; an uncommon cause of polymorphic ventricular tachycardia and ventricular fibrillation arrest in children and young adults where epinephrine (adrenaline), even when given according to international protocols, can be counter-productive and life-threatening. We review three cases of cardiac arrest in children, later proven to be catecholaminergic polymorphic ventricular tachycardia related, where delay in recognition of this condition resulted in significantly longer resuscitation efforts, more interventions, and a longer time to return of spontaneous circulation.

Design: Retrospective case series. Read More

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http://dx.doi.org/10.1097/PCC.0000000000001847DOI Listing
January 2019
2 Reads

Fetal endoscopic tracheal occlusion reduces pulmonary hypertension in severe congenital diaphragmatic hernia.

Ultrasound Obstet Gynecol 2019 Jan 14. Epub 2019 Jan 14.

Texas Children's Fetal Center, Baylor College of Medicine, Houston, TX.

Objective: Fetal endoscopic tracheal occlusion (FETO) is associated with increased perinatal survival and reduced need for Extracorporeal Membrane Oxygenation (ECMO) among fetuses with severe congenital diaphragmatic hernia (CDH). This study evaluates the impact of FETO on the resolution of pulmonary hypertension (PH) in fetuses with isolated CDH.

Methods: All fetuses evaluated for CDH between January 2004 and July 2017 at a single institution were included. Read More

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http://dx.doi.org/10.1002/uog.20216DOI Listing
January 2019

A Pilot Study Identifying Brain-Targeting Adaptive Immunity in Pediatric Extracorporeal Membrane Oxygenation Patients With Acquired Brain Injury.

Crit Care Med 2019 Jan 10. Epub 2019 Jan 10.

Departments of Neurology and Neurotherapeutics, UT Southwestern Medical Center, Dallas, TX.

Objectives: Extracorporeal membrane oxygenation provides short-term cardiopulmonary life support, but is associated with peripheral innate inflammation, disruptions in cerebral autoregulation, and acquired brain injury. We tested the hypothesis that extracorporeal membrane oxygenation also induces CNS-directed adaptive immune responses which may exacerbate extracorporeal membrane oxygenation-associated brain injury.

Design: A single center prospective observational study. Read More

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http://dx.doi.org/10.1097/CCM.0000000000003621DOI Listing
January 2019
1 Read

Significant mortality, morbidity and resource utilization associated with advanced heart failure in congenital heart disease in children and young adults.

Am Heart J 2018 Dec 5;209:9-19. Epub 2018 Dec 5.

Division of Pediatric Cardiology, The Children's Hospital of Philadelphia, Philadelphia, PA.

Background: Children with congenital heart disease (CHD) are at risk for advanced heart failure (AHF). We sought to define the mortality and resource utilization in CHD-related AHF in children and young adults.

Methods: All hospitalizations in the Pediatric Health Information System database involving patients ≤21 years old with a CHD diagnosis and heart failure requiring at least 7 days of continuous inotropic support between 2004 and 2015 were included. Read More

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http://dx.doi.org/10.1016/j.ahj.2018.11.010DOI Listing
December 2018

Mobile extracorporeal membrane oxygenation for children: single-center 10 years' experience.

Perfusion 2019 Jan 12:267659118824006. Epub 2019 Jan 12.

6 Anesthesia and Intensive Care Unit, Timone Children Hospital, Marseille, France.

Objectives:: Extracorporeal membrane oxygenation has become a gold standard in treatment of severe refractory circulatory and/or pulmonary failure. Those procedures require gathering of competences and material. Therefore, they are conducted in a limited number of reference centers. Read More

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http://dx.doi.org/10.1177/0267659118824006DOI Listing
January 2019

Inhaled nitric oxide for neonates with persistent pulmonary hypertension of the newborn in the CINRGI study: time to treatment response.

BMC Pediatr 2019 Jan 12;19(1):17. Epub 2019 Jan 12.

Mallinckrodt Pharmaceuticals, Bedminster, NJ, USA.

Background: Substantial numbers of neonates with hypoxic respiratory failure (HRF) do not immediately respond to inhaled nitric oxide (iNO) and are often labeled as non-responders. This retrospective data analysis assessed time to treatment response in the iNO key registration trial.

Methods: Treatment response was defined as a ≥10% increase in partial pressure of arterial oxygen (PaO) or a ≥10% decrease in oxygenation index (OI) after initiation of study gas without the need for extracorporeal membrane oxygenation (ECMO). Read More

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http://dx.doi.org/10.1186/s12887-018-1368-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6330425PMC
January 2019
1 Read

Quick atrial access by subxiphoid approach in extracorporeal cardiopulmonary resuscitation after bidirectional Glenn procedure.

Perfusion 2019 Jan 14:267659118823999. Epub 2019 Jan 14.

Department of Cardiovascular Surgery, Nagano Children's Hospital, Azumino, Japan.

Bidirectional Glenn procedure outcomes are very good; therefore, extracorporeal membrane oxygenation use as extracorporeal cardiopulmonary resuscitation is uncommon. We describe a 13-month-old female who required extracorporeal cardiopulmonary resuscitation for ventricular tachycardia provoked by transient myocarditis 6 months post-bidirectional Glenn procedure. After extracorporeal membrane oxygenation induction with cannulation on the cervical vessels, small skin incision was created on the subxiphoid area without sternotomy and the atrium was cannulated. Read More

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http://dx.doi.org/10.1177/0267659118823999DOI Listing
January 2019
1 Read

Congenital diaphragmatic hernia sacs: prenatal imaging and associated postnatal outcomes.

Pediatr Radiol 2019 Jan 11. Epub 2019 Jan 11.

Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

Background: The presence of a hernia sac in congenital diaphragmatic hernia (CDH) has been reported to be associated with higher lung volumes and better postnatal outcomes.

Objective: To compare prenatal imaging (ultrasound and MRI) prognostic measurements and postnatal outcomes of CDH with and without hernia sac.

Materials And Methods: We performed database searches from January 2008 to March 2017 for surgically proven cases of CDH with and without hernia sac. Read More

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http://dx.doi.org/10.1007/s00247-018-04334-9DOI Listing
January 2019
1 Read

Predicting mortality in patients undergoing VA-ECMO after coronary artery bypass grafting: the REMEMBER score.

Crit Care 2019 Jan 11;23(1):11. Epub 2019 Jan 11.

Center for Cardiac Intensive Care, Beijing Anzhen Hospital, Capital Medical University, Beijing, People's Republic of China.

Background: Prediction scoring systems for coronary artery bypass grafting (CABG) patients on venoarterial extracorporeal membrane oxygenation (VA-ECMO) have not yet been reported. This study was designed to develop a predictive score for in-hospital mortality for cardiogenic shock patients who received VA-ECMO after isolated CABG.

Methods: Retrospective cohort study of consecutive CABG patients supported with VA-ECMO (n = 166) at the Beijing Anzhen Hospital between February 2004 and March 2017. Read More

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https://ccforum.biomedcentral.com/articles/10.1186/s13054-01
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http://dx.doi.org/10.1186/s13054-019-2307-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6330483PMC
January 2019
4 Reads

Sufentanil pharmacokinetics in a full-term neonate treated with extracorporeal membrane oxygenation: a case report.

Perfusion 2019 Jan 11:267659118824011. Epub 2019 Jan 11.

2 Institute of Pharmacology, First Faculty of Medicine, Charles University and General University Hospital in Prague, Prague, Czech Republic.

Introduction:: Sufentanil is a potent analgesic drug used for pain management. A few studies describe the pharmacokinetics of sufentanil in neonates; however, no pharmacokinetic data about sufentanil during extracorporeal membrane oxygenation have been published yet.

Case Report:: A 1-day-old neonate with moderate hypoxic-ischemic encephalopathy received veno-arterial extracorporeal membrane oxygenation support for refractory respiratory and circulatory failure. Read More

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http://journals.sagepub.com/doi/10.1177/0267659118824011
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http://dx.doi.org/10.1177/0267659118824011DOI Listing
January 2019
2 Reads

In-hospital outcomes after emergency or prophylactic veno-arterial extracorporeal membrane oxygenation during transcatheter aortic valve implantation: a comprehensive review of the literature.

Perfusion 2019 Jan 11:267659118816555. Epub 2019 Jan 11.

1 Cardio-Thoracic Surgery Department, Heart and Vascular Centre, Maastricht University Medical Centre, Maastricht, the Netherlands.

Veno-arterial extracorporeal membrane oxygenation (V-A ECMO) has been used to deal with life-threatening complications as well as back-up or active cardiovascular support during high-risk procedures in patients undergoing transcatheter aortic valve implantation (TAVI). PubMed and MEDLINE electronic databases were searched in order to identify studies with emergency or prophylactic V-A ECMO application in association with TAVI procedures. From November 2012 to November 2017, 14 relevant studies were identified that included 5,115 TAVI patients of whom 102 (2%) required V-A ECMO (22 prophylactically, 66 as an emergency and 14 without a reported indication). Read More

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http://dx.doi.org/10.1177/0267659118816555DOI Listing
January 2019
1 Read

Extracorporeal membrane oxygenation-induced fibrinolysis detected by rotational thromboelastometry and treated by oxygenator exchange.

Perfusion 2019 Jan 11:267659118824218. Epub 2019 Jan 11.

1 Department of Anaesthesiology and Intensive Care Medicine, Second Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic.

Coagulopathy and bleeding is a frequent phenomenon in patients on extracorporeal membrane oxygenation. The cause may be multifactorial and it may change over time. We present a case when bleeding was caused by hyperfibrinolysis induced by oxygenator. Read More

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http://dx.doi.org/10.1177/0267659118824218DOI Listing
January 2019
2 Reads

Role of Plasmapheresis and Extracorporeal Membrane Oxygenation in the Treatment of Leptospirosis Complicated with Pulmonary Hemorrhages.

J Trop Med 2018 2;2018:4520185. Epub 2018 Dec 2.

Department of Internal Medicine, Faculty of Medicine, University of Ruhuna, Sri Lanka.

Introduction: Leptospirosis is an emerging infectious disease associated with multiorgan involvement and significant morbidity and mortality. Although pulmonary hemorrhage due to leptospirosis has a high fatality, specific treatment options are limited and their efficacy is not adequately proven. We opted to find out the current evidence on plasmapheresis and extracorporeal membrane oxygenation (ECMO) in pulmonary hemorrhages due to leptospirosis. Read More

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https://www.hindawi.com/journals/jtm/2018/4520185/
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http://dx.doi.org/10.1155/2018/4520185DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304550PMC
December 2018
3 Reads

Therapeutic hypothermia as an adjunct to extracorporeal membrane oxygenation for acute respiratory distress and refractory hypoxemia.

Perfusion 2019 Jan 10:267659118822941. Epub 2019 Jan 10.

2 Division of Cardiac Surgery, Department of Surgery, University of Alberta, Edmonton, AB, Canada.

Legionella community-acquired pneumonia necessitating veno-venous extracorporeal membrane oxygenation for severe acute respiratory distress syndrome has been reported in adults. However, few options remain in cases of refractory hypoxemia on veno-venous extracorporeal membrane oxygenation. Herein, we describe adjunctive extended therapeutic hypothermia for refractory hypoxemia despite veno-venous extracorporeal membrane oxygenation for successful management of severe acute respiratory distress syndrome secondary to Legionella. Read More

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http://dx.doi.org/10.1177/0267659118822941DOI Listing
January 2019
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In-hospital and post-discharge outcomes of pediatric acute myocarditis underwent after high-dose steroid or intravenous immunoglobulin therapy.

BMC Cardiovasc Disord 2019 Jan 9;19(1):10. Epub 2019 Jan 9.

Department of Cardiology, Chiayi Chang Gung Memorial Hospital, No. 6, Sec. West, Chai-Pu Road, Pu-TZ City, Chai Yi Hsien, Taiwan.

Background: High-dose steroids and intravenous immunoglobulin (IVIG) are controversial treatments for pediatric patients with acute myocarditis. This study aimed to investigate their efficacies in the Taiwanese pediatric population.

Methods: This study evaluated 5563 acute myocarditis patients from the Taiwan's National Health Insurance Research Database and identified 1542 pediatric patients hospitalized for acute myocarditis between January 1, 2001 and December 31, 2011. Read More

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http://dx.doi.org/10.1186/s12872-018-0981-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6325679PMC
January 2019
1 Read

Surgical transaxillary placement of the Impella 5.0 ventricular assist device.

J Card Surg 2019 Jan 9. Epub 2019 Jan 9.

Department of Anesthesia and Intensive Care, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy.

Objective: The aim of this study is to evaluate the open transaxillary placement of the Impella 5.0 with a modified surgical technique.

Methods: From January to July 2018, nine patients (eight males; mean age 60 years) underwent surgical transaxillary Impella 5. Read More

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http://doi.wiley.com/10.1111/jocs.13978
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http://dx.doi.org/10.1111/jocs.13978DOI Listing
January 2019
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Minimally invasive management of central ECMO after ascending aortic surgery.

J Card Surg 2019 Jan 9. Epub 2019 Jan 9.

Department of Cardiothoracic Surgery, Maastricht University Medical Center+, Maastricht, The Netherlands.

A small percentage of ascending aortic surgical procedures require temporary mechanical circulatory support, of which veno-arterial extracorporeal membrane oxygenation (V-A ECMO) is the most established technique. We present a surgical technique for minimally invasive central V-A ECMO management, avoiding resternotomy or ventricular compression, while maintaining antegrade blood flow and permitting sternal closure following ascending aortic surgery. Read More

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http://dx.doi.org/10.1111/jocs.13974DOI Listing
January 2019

Influence of cannula positioning on brain injury during extracorporeal membrane oxygenation.

J Thorac Dis 2018 Nov;10(11):6184-6191

Korea Artificial Organ Center, Korea University, Seoul, Korea.

Background: In veno-arterial extracorporeal membrane oxygenation (V-A ECMO), a patient is cannulated using either an atrio-aortic technique (central type ECMO; cECMO) or a femoro-femoral technique (peripheral type ECMO; pECMO). The direction of the pump flow at the aortic arch is anterograde from the ascending aorta in cECMO and retrograde from the descending aorta in pECMO. Hemodynamic differences from the position of the cannulas may influence the brain differently. Read More

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http://jtd.amegroups.com/article/view/25062/19097
Publisher Site
http://dx.doi.org/10.21037/jtd.2018.10.74DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6297440PMC
November 2018
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[Extracorporeal Membrane Oxygenation in Thoracic Surgery: the Anesthesiologist's Perspective].

Zentralbl Chir 2019 Jan 8. Epub 2019 Jan 8.

Anästhesie, operative Intensivmedizin, Schmerztherapie und Notfallmedizin, Klinikum Ibbenbüren, Deutschland.

"Enhanced Recovery after Surgery" programs have been developed for thoracic surgery over the last couple of years. Besides minimally invasive surgical techniques, there are a number of anaesthesiological aspects like the choice of short acting anaesthetics, the use of regional analgesia, a balanced intraoperative fluid therapy, the avoidance of postoperative nausea and vomiting and, most importantly, protective ventilation, that need to be considered. In patients undergoing thoracic surgery procedures with preexisting severe limitations in pulmonary function, protective ventilation under the conditions of one lung ventilation often leads to severe dysfunction of pulmonary gas exchange. Read More

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http://dx.doi.org/10.1055/a-0774-8151DOI Listing
January 2019
2 Reads

Inter-Hospital ECMO Transport: Regional Focus.

Semin Thorac Cardiovasc Surg 2019 Jan 4. Epub 2019 Jan 4.

Duke University Medical Center, Department of Surgery, Durham, NC. Electronic address:

Utilization of extracorporeal membrane oxygenation (ECMO) has increased dramatically over the last decade. Despite this trend, many medical centers have limited, if any, access to this technology or the resources necessary to manage these complex patients. In an effort to improve the current infrastructure of regional ECMO care, ECMO centers of excellence have an obligation to partner with facilities within their communities and regions to increase access to this potentially life-saving technology. Read More

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http://dx.doi.org/10.1053/j.semtcvs.2019.01.003DOI Listing
January 2019

Palliative Care Consultation in Cardiogenic Shock Requiring Short-Term Mechanical Circulatory Support: A Retrospective Cohort Study.

J Palliat Med 2019 Jan 7. Epub 2019 Jan 7.

1 Adult Palliative Care, Department of Medicine, Columbia University Medical Center, New York, New York.

Background: Little is known about palliative care consultation (PCC) for patients with cardiogenic shock requiring short-term mechanical circulatory support (STMCS).

Objective: To describe the utilization of PCC in this population.

Design: Retrospective cohort study in a university medical center intensive care unit (ICU). Read More

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http://dx.doi.org/10.1089/jpm.2018.0393DOI Listing
January 2019
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Extracorporeal Carbon Dioxide Removal in the Management of Complex Bilateral Flail Chest Injury.

ASAIO J 2019 Jan 3. Epub 2019 Jan 3.

From the Division of Critical Care Medicine, Department of Medicine, Louisiana State University Health Sciences Center, Shreveport, Louisiana.

Flail chest is an uncommon consequence of traumatic injury. Medical management includes mechanical ventilation for internal pneumatic stabilization. Control of respiratory drive is necessary to avoid paradoxical movement and impairment of recovery. Read More

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http://dx.doi.org/10.1097/MAT.0000000000000942DOI Listing
January 2019
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