Weaning from prolonged veno-venous extracorporeal membrane oxygenation (ECMO) after transfer to a specialized center: a retrospective study
| العنوان: | Weaning from prolonged veno-venous extracorporeal membrane oxygenation (ECMO) after transfer to a specialized center: a retrospective study |
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| المؤلفون: | Ralf Michael Muellenbach, Frederik Seiler, Markus Kredel, Hendrik Haake, Annegret Kamp, Monika Flaig, Robert Bals, Mohammad Alqudrah, Philipp M. Lepper, Carlos Metz, Sabrina I. Hörsch, Franziska C. Trudzinski, Holger Wehrfritz |
| المصدر: | Journal of Artificial Organs. 21:300-307 |
| بيانات النشر: | Springer Science and Business Media LLC, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Adult, Male, Patient Transfer, Nephrology, medicine.medical_specialty, ARDS, medicine.medical_treatment, Biomedical Engineering, Medicine (miscellaneous), Weaning, Respiratory failure, 030204 cardiovascular system & hematology, Lung injury, Hospitals, Special, Biomaterials, 03 medical and health sciences, Extracorporeal Membrane Oxygenation, 0302 clinical medicine, Internal medicine, Extracorporeal membrane oxygenation, Humans, Medicine, Lung transplantation, Lung failure, Retrospective Studies, business.industry, 030208 emergency & critical care medicine, Retrospective cohort study, Middle Aged, medicine.disease, Cardiac surgery, surgical procedures, operative, Anesthesia, Preoperative Period, Female, ECMO, Respiratory Insufficiency, Cardiology and Cardiovascular Medicine, business, Lung transplant, Lung Transplantation |
| الوصف: | Veno-venous extracorporeal membrane oxygenation (vvECMO) is increasingly used as rescue therapy in severe respiratory failure. In patients with pre-existent lung diseases or persistent lung injury weaning from vvECMO can be challenging. This study sought to investigate outcomes of patients transferred to a specialized ECMO center after prolonged ECMO therapy. We performed a retrospective analysis of all patients admitted to our medical intensive care unit (ICU) between 01/2013 and 12/2016 who were transferred from an external ICU after > 8 days on vvECMO. 12 patients on ECMO for > 8 days were identified. Prior to transfer, patients underwent ECMO therapy for 18 ± 9.5 days. Total time on ECMO was 60 ± 46.6 days. 11/12 patients could be successfully weaned from ECMO, 7/12 in the first 28 days after transfer (8 ± 8.8 ECMO-free days at day 28). In 7 patients, ECMO could be terminated after at least partial lung recovery, in 4 patients after salvage lung transplant. No patient died or needed re-initiation of ECMO therapy at day 28. In summary, weaning from vvECMO was feasible even after prolonged ECMO courses and salvage lung transplant could be avoided in most cases. Patients may benefit from transfer to a specialized ECMO center. |
| تدمد: | 1619-0904 1434-7229 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::21464d236c9ca721417f599c787ff77bTest https://doi.org/10.1007/s10047-018-1046-1Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....21464d236c9ca721417f599c787ff77b |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 16190904 14347229 |
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