Venovenous Extracorporeal Membrane Oxygenation for Patients With Return of Spontaneous Circulation After Cardiac Arrest Owing to Acute Respiratory Distress Syndrome.


Journal

Journal of cardiothoracic and vascular anesthesia
ISSN: 1532-8422
Titre abrégé: J Cardiothorac Vasc Anesth
Pays: United States
ID NLM: 9110208

Informations de publication

Date de publication:
Aug 2019
Historique:
received: 17 09 2018
revised: 17 04 2019
accepted: 18 04 2019
pubmed: 12 6 2019
medline: 27 5 2020
entrez: 12 6 2019
Statut: ppublish

Résumé

The primary objective of this study was to determine the survival to hospital discharge of patients who were treated with venovenous (VV) extracorporeal membrane oxygenation (ECMO) for respiratory failure after cardiac arrest. Retrospective chart review. University-affiliated tertiary care hospitals. The study comprised 21 patients. Implementation of VV ECMO in patients with return of spontaneous circulation after cardiac arrest owing to respiratory insufficiency. The most common etiology of arrest was pneumonia-associated acute respiratory distress syndrome (8/21 [38%]). Overall, 12/21(57%) patients survived to hospital discharge. Two of 12 (17%) patients required hemodialysis upon discharge. VV ECMO may be an appropriate alternative to venoarterial ECMO in select patients with return of spontaneous circulation after cardiac arrest owing to profound respiratory failure.

Identifiants

pubmed: 31182376
pii: S1053-0770(19)30399-4
doi: 10.1053/j.jvca.2019.04.020
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2216-2220

Informations de copyright

Copyright © 2019 Elsevier Inc. All rights reserved.

Auteurs

Abhishek Bhardwaj (A)

Department of Medicine, University of Pennsylvania Health System, Philadelphia, PA.

Todd Miano (T)

Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.

Bram Geller (B)

Department of Medicine, University of Pennsylvania Health System, Philadelphia, PA.

Rita C Milewski (RC)

Division of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania Health System, Philadelphia, PA.

Matthew Williams (M)

Division of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania Health System, Philadelphia, PA.

Christian Bermudez (C)

Division of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania Health System, Philadelphia, PA.

Prashant Vallabhajosyula (P)

Division of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania Health System, Philadelphia, PA.

Prakash Patel (P)

Department of Anesthesiology and Critical Care, University of Pennsylvania Health System, Philadelphia, PA.

Emily Mackay (E)

Department of Anesthesiology and Critical Care, University of Pennsylvania Health System, Philadelphia, PA.

William Vernick (W)

Department of Anesthesiology and Critical Care, University of Pennsylvania Health System, Philadelphia, PA.

Meghan Lane-Fall (M)

Department of Anesthesiology and Critical Care, University of Pennsylvania Health System, Philadelphia, PA.

Jesse Raiten (J)

Department of Anesthesiology and Critical Care, University of Pennsylvania Health System, Philadelphia, PA.

Michael McDonald (M)

Department of Anesthesiology and Critical Care, University of Pennsylvania Health System, Philadelphia, PA.

John Haddle (J)

University of Pennsylvania Health System, Philadelphia, PA.

Jacob Gutsche (J)

Department of Anesthesiology and Critical Care, University of Pennsylvania Health System, Philadelphia, PA. Electronic address: Jacob.Gutsche@uphs.upenn.edu.

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Classifications MeSH