SciCombinator

Discover the most talked about and latest scientific content & concepts.

Concept: Perfusionist

27

The use of extracorporeal membrane oxygenation (ECMO) as a bridge to lung transplantation was reported for the first time more than three decades ago; nevertheless, its use in lung transplantation was largely abandoned because of poor patient survival and frequent complications. The outcomes of patients bridged to lung transplantation using ECMO have substantially improved in the last 5 years. Recent advances in extracorporeal life support technology now allow patients with end-stage lung disease to be successfully supported for prolonged periods of time, preventing the use of mechanical ventilation and facilitating physical rehabilitation and ambulation while the patients awaits lung transplantation. This review briefly describes the evolution of ECMO use in lung transplantation and summarizes the available technology and current approaches to provide ECMO support.

Concepts: Pulmonology, Medical terms, Patient, Intensive care medicine, Medical equipment, Extracorporeal, Extracorporeal membrane oxygenation, Perfusionist

9

The use of extracorporeal membrane oxygenation (ECMO) in cases of near-fatal asthma (NFA) has increased, but the benefits and potential complications of this therapy have yet to be fully investigated.

Concepts: Intensive care medicine, Organization, Medical equipment, Extracorporeal, Extracorporeal membrane oxygenation, Perfusionist

9

Venoarterial (VA) and venovenous (VV) extracorporeal membrane oxygenation (ECMO) support is increasingly being used in recent years in the adult population. Owing to the underlying disease precipitating severe respiratory or cardiac failure, echocardiography plays an important role in the management of these patients. Nevertheless, there are currently no guidelines on the use of echocardiography in the setting of ECMO support. This review describes the current state of application of echocardiography for patients supported with both VA and VV ECMO.

Concepts: Medical terms, Cardiology, Setting, The Current, Support, Extracorporeal, Extracorporeal membrane oxygenation, Perfusionist

8

In severe respiratory and/or circulatory failure, extracorporeal membrane oxygenation (ECMO) may be a lifesaving procedure. Specialized departments provide ECMO, and these patients often have to be transferred for treatment. Conventional transportation is hazardous, and deaths have been described. Only a few centers have performed more than 100 ECMO transports. To date, our mobile ECMO teams have performed more than 700 transports with patients on ECMO since 1996. We describe 4 consecutive years (2010-2013) of 322 national and international ECMO transports and report adverse events.

Concepts: Transport, Extracorporeal, Extracorporeal membrane oxygenation, Perfusionist, Transport Layer

7

Patients on extracorporeal membrane oxygenation (ECMO) are often among the most severely ill in the intensive care unit. They are often receiving broad-spectrum antibiotics; they have multiple entry points for pathogens; and their immune system is impaired by blood circuit interaction. These factors are thought to predispose them to fungal infections. We thus aimed to evaluate the prevalence, risk factors, and prognosis of fungal infections in adults on ECMO.

Concepts: Immune system, Bacteria, Microbiology, Intensive care medicine, Medical equipment, Extracorporeal, Extracorporeal membrane oxygenation, Perfusionist

6

Tracheostomy is recommended in case of prolonged mechanical ventilation. Therefore, most patients with an indication for venovenous extracorporeal membrane oxygenation (ECMO) will also have an indication for tracheostomy.

Concepts: Medical terms, Intensive care medicine, HVAC, Extracorporeal, Extracorporeal membrane oxygenation, Perfusionist, Embolism, Air embolism

6

Extracorporeal membrane oxygenation (ECMO) is a mode of extracorporeal life support that augments oxygenation, ventilation and/or cardiac output via cannulae connected to a circuit that pumps blood through an oxygenator and back into the patient. ECMO has been used for decades to support cardiopulmonary disease refractory to conventional therapy. While not robust, there are promising data for the use of ECMO in acute hypoxemic respiratory failure, cardiac arrest, and cardiogenic shock and the potential indications for ECMO continue to increase. This review discusses the existing literature on the potential use of ECMO in critically ill patients within the emergency department.

Concepts: Patient, Intensive care medicine, Cardiac arrest, Cardiopulmonary bypass, Medical equipment, Extracorporeal, Extracorporeal membrane oxygenation, Perfusionist

5

The Extracorporeal Life Support Organization (ELSO) has suggested that extracorporeal membrane oxygenation (ECMO) patients should be managed by a multidisciplinary team. However, there are limited data on the impact of ECMO team on the outcomes of patients with severe acute respiratory failure.

Concepts: Medical terms, Intensive care medicine, Organization, Team, Medical equipment, Extracorporeal, Extracorporeal membrane oxygenation, Perfusionist

5

Veno-arterial extracorporeal membrane oxygenation (VA ECMO) is an effective rescue therapy for severe cardiorespiratory failure, but morbidity and mortality are high. We hypothesised that survival decreases with longer VA ECMO treatment. We examined the Extracorporeal Life Support Organization (ELSO) registry for a relationship between VA ECMO duration and in-hospital mortality, and covariates including indication for support.

Concepts: Mortality rate, Intensive care medicine, Organization, Medical equipment, Extracorporeal, Extracorporeal membrane oxygenation, Perfusionist

3

Utilization of extracorporeal membrane oxygenation (ECMO) has increased worldwide, but its use remains restricted to severely ill patients, and few referral centers are properly structured to offer this support. Inter-hospital transfer of patients on ECMO support can be life-threatening. In this study, we report a single-center experience and a systematic review of the available published data on complications and mortality associated with ECMO transportation.

Concepts: Medicine, Medical terms, Illness, Urgent care, Extracorporeal, Extracorporeal membrane oxygenation, Perfusionist, Tertiary care