Article
Surgery
Michael T. Cain, Nathan J. Smith, Mark Barash, Pippa Simpson, Lucian A. Durham, Hemanckur Makker, Christopher Roberts, Octavio Falcucci, Dong Wang, Rebekah Walker, Gulrayz Ahmed, Sherry-Ann Brown, Rahul S. Nanchal, David L. Joyce
Summary: In patients with COVID-19 ARDS, simultaneous RVAD/ECMO treatment was associated with lower mortality and a reduced incidence of acute kidney injury compared to IMV alone. However, there were no significant differences in ICU stay and duration of mechanical ventilation.
JOURNAL OF SURGICAL RESEARCH
(2021)
Review
Biochemistry & Molecular Biology
Gregorio Marchiori, Matteo Berni, Giorgio Cassiolas, Leonardo Vivarelli, Nicola Francesco Lopomo, Milena Fini, Dante Dallari, Marco Govoni
Summary: Studies have shown the efficacy of post-mortem ECMO on donors in preserving organ function for transplantation. However, there is still a lack of consensus and evidence on the use of ECMO donors in tissue harvesting.
Review
Endocrinology & Metabolism
Shir Lynn Lim, Kangjie Wang, Pak Ling Lui, Kollengode Ramanathan, Samantha Peiling Yang
Summary: Thyroid storm is a rare but life-threatening endocrinological emergency with high mortality. Combining conventional pharmacotherapy with extra-corporeal treatments may be necessary for better outcomes in severe cases.
FRONTIERS IN ENDOCRINOLOGY
(2021)
Editorial Material
Cardiac & Cardiovascular Systems
Trevor M. Bibler, Asma Zainab
Summary: The ethical permissibility of unilaterally withdrawing ECMO has been discussed, and three scenarios are identified where healthcare teams would be justified in doing so. Equity, integrity, and the moral equivalence between withholding and withdrawing medical technologies are the ethical considerations supporting these scenarios. Recommendations for preventing challenges are also provided.
JOURNAL OF HEART AND LUNG TRANSPLANTATION
(2023)
Article
Medicine, General & Internal
Jun Young Ko, Mi rim Lee, Eun-Hye Ha, Aram Kim
Summary: This case report presents rare ECMO-related complications in two pediatric patients who experienced motor weakness in the extremities after ECMO equipment insertion. They were diagnosed with peripheral nerve injuries which were possibly caused by vascular compromise and compressive injuries. Surgical embolectomy, orthosis, physical therapy, and occupational therapy were performed, leading to gradual improvement in motor power and function in both patients. The importance of early diagnosis and monitoring of peripheral nerve injury in ECMO-treated children is emphasized through this report.
Article
Cardiac & Cardiovascular Systems
Alejandro Quintero, Eric E. Vinck, Luz E. Perez, Jose J. Escobar, Juan C. Rendon, Juan D. Uribe
Summary: This case report presents an emergency cesarean section performed on a COVID-19 positive pregnant patient on ECMO support. The decision to proceed with a C-section in such cases requires careful consideration, with pulmonary maturation being a key factor. Scarce data highlights the need for further research on improving the efficacy of ECMO support for pregnant patients with COVID-19 infection.
Article
Engineering, Biomedical
Jeffrey Javidfar, Ahmed Labib, Gabrielle Ragazzo, Ethan Kurtzman, Maria Callahan, Silver Heinsar, Vadim Gudzenko, Peter Barrett, Jose Binongo, Jane Wenjing Wei, John Fraser, Jacky Y. Suen, Gianluigi Li Bassi, Giles Peek
Summary: By adhering to strict precautions, patients with COVID-19 can be safely cannulated at an outside hospital and transported to a quaternary care center without increased risk to the transport team.
Article
Cardiac & Cardiovascular Systems
Jared P. Beller, J. Hunter Mehaffey, Zachary K. Wegermann, Maria Grau-Sepulveda, Sean M. O'Brien, J. Matthew Brennan, Vinod Thourani, Vinay Badhwar, Francis D. Pagani, Gorav Ailawadi, Leora T. Yarboro, Nicholas R. Teman
Summary: Patients with severe right ventricular failure during durable left ventricular assist device implantation may benefit from the use of RVAD over VA-ECMO. Regardless of the type of support, initiation at the index operation was associated with improved outcomes.
ANNALS OF THORACIC SURGERY
(2022)
Article
Respiratory System
Thomas Orthmann, Zied Ltaief, Jean Bonnemain, Matthias Kirsch, Lise Piquilloud, Lucas Liaudet
Summary: A study conducted in a medium-size ECMO center in Switzerland found that the outcome of VV-ECMO in acute respiratory failure is influenced by various factors, including patient-related factors, center expertise, and modalities of mechanical ventilation. The study identified that driving pressure on ECMO and longer duration of mechanical ventilation before ECMO are important factors associated with mortality.
BMC PULMONARY MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Akram M. Zaaqoq, Robert C. Brammer, Chee M. Chan, Andrew F. Shorr
Summary: The study found a low prevalence of HIT in patients requiring ECMO support, but it remains associated with high mortality rates. The current ELISA performance as a screening test is poor, but altering the definition of a positive OD can improve its accuracy.
JOURNAL OF THROMBOSIS AND THROMBOLYSIS
(2022)
Article
Engineering, Biomedical
Jae Kyeom Sim, Kyeongman Jeon, Gee Young Suh, Suryeun Chung, Yang Hyun Cho
Summary: VV ECMO is effective in supporting patients with respiratory failure, but issues like recirculation and right ventricular failure can arise. OxyRVAD, with its advantages of hemodynamic support and facilitating rehabilitation, can be a better option. Combining VV ECMO with OxyRVAD can overcome these challenges and lead to better outcomes for patients in need of lung transplantation.
Article
Cardiac & Cardiovascular Systems
Cheng Zhao, Xing Hao, Chao Xue, Yichen Zhao, Jie Han, Yixin Jia, Xiaotong Hou, Jiangang Wang
Summary: Acute right ventricular failure is a common and challenging condition in heart transplant recipients. While extracorporeal membrane oxygenation (ECMO) is an effective strategy for its treatment, the outcomes after weaning and during follow up need further investigation. This study aimed to evaluate the right-sided heart function in ECMO survivors following HTx.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Editorial Material
Cardiac & Cardiovascular Systems
Masashi Kawabori, Taylor Nordan, Navin K. Kapur, Gregory S. Couper
Summary: Right ventricular failure has a negative impact on prognosis post left ventricular assist device implantation. However, a strategy for primary prevention of right ventricular failure in high-risk patients has been proposed.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2021)
Review
Medicine, General & Internal
Mahmoud Abdelshafy, Kadir Caliskan, Goksel Guven, Ahmed Elkoumy, Hagar Elsherbini, Hesham Elzomor, Erhan Tenekecioglu, Sakir Akin, Osama Soliman
Summary: Acute right-sided heart failure is a complex clinical syndrome with a lack of evidence-based literature. Temporary right-ventricular assist device is a potential treatment option. This study found variations in successful t-RVAD weaning rates and 30-day survival rates. The most commonly reported complications include bleeding, acute kidney injury, stroke, and device malfunction.
JOURNAL OF CLINICAL MEDICINE
(2022)
Review
Anesthesiology
Stephanie Noone, Armin N. Flinspach, Stephan Fichtlscherer, Kai Zacharowski, Michael Sonntagbauer, Florian J. Raimann
Summary: This article reports a case of COVID-19-associated myocarditis and discusses treatment options. Most patients required the use of two assist devices to achieve sufficient cardiac output, and immediate invasive bridging therapy was lifesaving for this patient.
BMC ANESTHESIOLOGY
(2022)