Search Tag: Extracorporeal Membrane Oxygenation

ICU Management

Lung Recruitment in Patients with Severe ARDS

2019 30 Aug

Acute Respiratory Distress Syndrome (ARDS) affects up to 10% of patients in the ICU. Typical symptoms of ARDS include an increase in lung weight and a reduction of aerated lung tissue. For the treatment of ARDS alveolar recruitment is key, however, this has not yet been shown to benefit severe ARDS cases. It has been suggested that lung recruitment... Read more

ICU Management

Models for predicting outcome in patients under VA-ECMO

2019 20 Feb

Despite limited evidence, veno-arterial extracorporeal membrane oxygenation (VA-ECMO) is increasingly used for the management of refractory cardiogenic shock (RCS) while awaiting myocardial recovery or the bridge to long-term assistance or transplantation. However, despite technological advances and better quality of care, mortality still remains at... Read more

ICU Management

High-risk ECMO - heroic rescue or futile care?

2018 26 Sep

Over the past decade, extracorporeal membrane oxygenation (ECMO) has become mainstream therapy in adult intensive care. Although the list of contraindications to ECMO has shrunk considerably, a few of these remain absolute, notes Dr. Graeme MacLaren in an editorial article published in the journal Critical Care.  "There are a number of circumstances... Read more

ICU Management

Despite ECMO use, mortality remains high in patients with cardiogenic shock

2018 11 Jul

An analysis of ECMO – extracorporeal membrane oxygenation – use in patients with cardiogenic shock finds that mortality remains high despite increasing utilisation of the resource-intensive intervention in this population. Season of admission (other than Fall) and presence of specific comorbidities (respiratory and genitourinary diseases) are associated... Read more

ICU Management

New model for predicting ECMO outcome in ARDS

2017 19 Dec

Extracorporeal membrane oxygenation (ECMO) is a life-saving therapy in acute respiratory distress syndrome (ARDS) patients but is associated with complications and costs. Researchers in Germany have developed a new, simple model that also incorporates extrapulmonary variables to predict mortality in ECMO-treated ARDS patients. The PRESET-Score (PREdiction... Read more

ICU Management

ECMO for Adult Respiratory Failure: 2017 Update

2017 04 Jul

Extracorporeal membrane oxygenation (ECMO) can support severe derangements in gas exchange in both acute and chronic respiratory failure, with data showing potential for improving survival in patients with high rates of morbidity and mortality, according to a review paper to appear in the journal CHEST. The use of ECMO for respiratory failure in adults... Read more

ICU Management

Review of ECMO in Out-of-Hospital Cardiac Arrest

2016 07 Jul

While the role of extracorporeal membrane oxygenation (ECMO) for in-hospital cardiac arrest has good evidence, the benefit of using it for out-of-hospital cardiac arrest (OHCA) is less clear. Favrizio Cirillo, Department for Anaesthesiology and Intensive Care Medicine, University Hospital Cologne, Germany, and colleagues have recently published a... Read more

ICU Management

Extracorporeal Membrane Oxygenation for Immunocompromised Patients with ARDS

2016 11 Mar

Improved Outcomes of Immunocompromised Patients Admitted to the ICU Immunocompromised patients, who include patients with haematological malignancies (HMs), solid tumours, solid-organ transplants, human immunodeficiency virus (HIV) or long-term corticosteroid use, are increasingly admitted to intensive care units (ICUs). Their survival has improved... Read more

ICU Management

Extracorporeal Lung Support in Trauma Patients

2016 11 Mar

The rationale, indications and challenges of extracorporeal lung assist in trauma patients with severe acute respiratory distress syndrome is given on  the basis of clinical and scientific experience. Traumatic lung injury is often present in multiple trauma with a wide spectrum of severity. In a large cohort study, patients with multiple trauma... Read more