Nursing Care for Extracorporeal Membrane Oxygenation in the Trauma Patient

2021 ◽  
Vol 44 (2) ◽  
pp. 140-146
Author(s):  
Britney Leffall ◽  
Lauren Myers ◽  
John B. Holcomb ◽  
Stacy A. Drake
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Trauma Patient ◽  
Nursing Care ◽  
Membrane Oxygenation

scholarly journals Extracorporeal Membrane Oxygenation and Nursing Care

2021 ◽  
Vol 12 (28) ◽  
pp. 126-133
Author(s):  
Hafize Savas ◽  
◽  
Zeliha Ozdemir Koken ◽  
Sevilay Senol Celik ◽  
◽  
...  
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Nursing Care ◽  
Membrane Oxygenation

scholarly journals Heparin-free veno-venous extracorporeal membrane oxygenation in a multiple trauma patient

Medicine ◽  
2020 ◽  
Vol 99 (5) ◽  
pp. e19070 ◽  
Author(s):  
Youn Young Lee ◽  
Hee Jung Baik ◽  
Heeseung Lee ◽  
Chi Hyo Kim ◽  
Rack Kyung Chung ◽  
...  
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Trauma Patient ◽  
Multiple Trauma ◽  
Multiple Trauma Patient ◽  
Membrane Oxygenation

TRANSFUSION-RELATED ACUTE LUNG INJURY IN MULTIPLE TRAUMA PATIENT: SUCCESSFUL USE OF EXTRACORPOREAL MEMBRANE OXYGENATION

2017 ◽  
Vol 22 (5) ◽  
pp. 472-474
Author(s):  
Vytautas Karosas ◽  
Rytė Bakšienė ◽  
Jūratė Šipylaitė ◽  
Andrius Klimašauskas ◽  
Gintautas Kėkštas
Keyword(s):  
Acute Lung Injury ◽  
Lung Injury ◽  
Extracorporeal Membrane Oxygenation ◽  
Trauma Patient ◽  
Multiple Trauma ◽  
Multiple Trauma Patient ◽  
Membrane Oxygenation

Su transfuzija susijęs ūminis plaučių pažeidimas yra pagrindinė sergamumo ir mirštamumo priežastis tarp su transfuzijomis susijusių reakcijų. Sindromas pasireiškia po kraujo plazmos turinčių komponentų transfuzijos. Straipsnyje aprašomas klinikinis atvejis apie su transfuzija susijusį plaučių pažeidimą ligoniui po politraumos. Gydant buvo sėkmingai pritaikytas ekstrakorporinės membraninės oskigenacijos metodas.

Extracorporeal membrane oxygenation in trauma: A single institution experience and review of the literature

2018 ◽  
Vol 41 (12) ◽  
pp. 845-853 ◽  
Author(s):  
Aaron Strumwasser ◽  
Joshua M Tobin ◽  
Reynold Henry ◽  
Chrissy Guidry ◽  
Caroline Park ◽  
...  
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Trauma Patient ◽  
Patient Population ◽  
Injury Severity ◽  
Blunt Injury ◽  
Trauma Patients ◽  
Single Institution ◽  
Membrane Oxygenation ◽  
Severity Scores ◽  
Level I

Introduction: Limited options exist for cardiovascular support of the trauma patient in extremis. This patient population offers challenges that are often considered insurmountable. This article identifies a heterogeneous group of trauma patients in extremis who may benefit from extracorporeal membrane oxygenation. Methods: Data were sourced from the medical records of all patients placed on extracorporeal membrane oxygenation following trauma at a Level I Trauma Center between 1 December 2016 and 1 December 2017. Results: All patients were male (N = 7), mostly with blunt injuries (n = 5), with an average age of 41 years and with an average Injury Severity Scores of 33 (median = 34). Two out of seven patients survived (28.5%). Survivors tended to have a longer duration on extracorporeal membrane oxygenation (13.5 vs 3.8 days), had extracorporeal membrane oxygenation initiated later (15 vs 7.8 days), and had suffered a blunt injury. Two patients were initiated on veno-arterial extracorporeal membrane oxygenation (both non-survivors) and five were initiated on veno-venous extracorporeal membrane oxygenation (two survivors, three non-survivors). Five patients were heparinized immediately (one survivor, four non-survivors), and two patients were heparinized after clotting was noted in the circuit (one survivor, one non-survivor). Three of the seven (42.8%) patients suffered cardiac arrest either prior to, or during, the initiation of extracorporeal membrane oxygenation (all non-survivors). Discussion: Extracorporeal membrane oxygenation use in the trauma patient in extremis is not standard; however, this article demonstrates that extracorporeal membrane oxygenation is feasible in a complex, heterogeneous patient population when treated at designated centers.

scholarly journals AAST Critical Care Committee clinical consensus: ECMO, nutritionExtracorporeal membrane oxygenation (ECMO)Nutrition

2019 ◽  
Vol 4 (1) ◽  
pp. e000304 ◽  
Author(s):  
David Zonies ◽  
Panna Codner ◽  
Pauline Park ◽  
Niels D Martin ◽  
Matthew Lissauer ◽  
...  
Keyword(s):  
Critical Care ◽  
Extracorporeal Membrane Oxygenation ◽  
Trauma Patient ◽  
Critically Ill ◽  
American Association ◽  
Expert Consensus ◽  
Surgical Trauma ◽  
Trauma Patients ◽  
Membrane Oxygenation

The American Association for the Surgery of Trauma Critical Care Committee has developed clinical consensus guides to help with practical answers based on the best evidence available. These are focused in areas in which the levels of evidence may not be that strong and are based on a combination of expert consensus and research. Overall, quality of the research is mixed, with many studies suffering from small numbers and issues with bias. The first two of these focus on the use of extracorporeal membrane oxygenation in trauma patients and nutrition for the critically ill surgical/trauma patient.

scholarly journals Cuidados a pacientes em uso de oxigenação por membrana extracorpórea

2019 ◽  
Vol 13 ◽  
Author(s):  
Daniel Santos ◽  
Luana Cardoso ◽  
Thalisson Cássia ◽  
Michelle Prata ◽  
Eduesley Santos
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Latin American ◽  
Nursing Care ◽  
Hemodynamic Monitoring ◽  
Complete Recovery ◽  
Critical Care Nursing ◽  
Status Monitoring ◽  
Membrane Oxygenation ◽  
Analysis Technique ◽  
Care Nursing

Objetivo: analisar as evidências acerca da assistência de Enfermagem a pacientes em uso de oxigenação por membrana extracorpórea. Método: trata-se de um estudo bibliográfico, tipo revisão integrativa, com busca de artigos publicados em periódicos científicos de 2008 a 2018 e indexados nas bases de dados LILACS, MEDLINE e Scopus e no Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde (BIREME), analisados pela técnica de Análise de Conteúdo e apresentados em formas de figuras. Resultados: selecionaram-se nove artigos com a análise que agrupou os resultados nas seguintes categorias: Deambulação/Mobilização; Gerenciamento dos circuitos; Cuidados gerais de Enfermagem; Monitorização hemodinâmica, posição prona; Monitorização do estado de sedação; Controle da anticoagulação e monitoração do sangramento. Conclusão: entende-se que a assistência de Enfermagem repercute diretamente na melhora do quadro clínico de pacientes que utilizam este tipo de suporte hemodinâmico, sendo primordial para a sua completa recuperação. Devem-se proporcionar capacitações específicas para que os enfermeiros possuam habilidades e competências suficientes para assistir o paciente de maneira segura e eficaz. Descritores: Cuidados Críticos; Enfermagem; Cardiologia; Oxigenação por Membrana Extracorpórea; Monitorização Hemodinâmica; Cuidados de Enfermagem.AbstractObjective: to analyze the evidence about nursing care for patients using extracorporeal membrane oxygenation. Method: this is an integrative review bibliographic study, searching for articles published in scientific journals from 2008 to 2018 and indexed in the LILACS, MEDLINE and Scopus databases, and the Latin American and Caribbean Center for Science Information. Health (BIREME), analyzed by the Content Analysis technique and presented in figure forms. Results: nine articles were selected with the analysis that grouped the results into the following categories: Ambulation / Mobilization; Circuit management; General nursing care; Hemodynamic monitoring, prone position; Sedation status monitoring; Anticoagulation control and bleeding monitoring. Conclusion: it is understood that nursing care directly affects the improvement of the clinical condition of patients using this type of hemodynamic support, being essential for their complete recovery. Specific training should be provided so that nurses have sufficient skills and competencies to assist the patient safely and effectively. Descriptors: Critical Care; Nursing; Cardiology; Extracorporeal Membrane Oxygenation; Hemodynamic Monitoring; Nursing Care.ResumenObjetivo: analizar las evidencias sobre el cuidado de Enfermería para pacientes que usan oxigenación con membrana extracorpórea. Método: este es un estudio bibliográfico de revisión integradora, que busca artículos publicados en revistas científicas de 2008 a 2018 e indexados en las bases de datos LILACS, MEDLINE y Scopus, y en el Centro Latinoamericano y del Caribe de Información en Ciencia de la Salud (BIREME), analizadas por la técnica de Análisis de Contenido y presentadas en forma de figuras. Resultados: se seleccionaron nueve artículos con el análisis que agruparon los resultados en las siguientes categorías: Ambulación / Movilización; Gestión de circuitos; Cuidados generales de Enfermería; Monitoreo hemodinámico, posición prono; Monitorización del estado de la sedación; Control de anticoagulación y monitoreo de hemorragias. Conclusión: se entiende que la atención de Enfermería impacta directamente en la mejora de la condición clínica de los pacientes que utilizan este tipo de soporte hemodinámico, siendo esencial para su recuperación completa. Se debe proporcionar capacitaciones específicas para que los enfermeros tengan suficientes habilidades y competencias para ayudar al paciente de manera segura y efectiva. Descriptores: Cuidados Críticos; Enfermería; Cardiología; Oxigenación por Membrana Extracorpórea; Monitorización Hemodinámica; Atención de Enfermería.

scholarly journals Managing Patients on Extracorporeal Membrane Oxygenation Support During The COVID-19 Pandemic – A Proposal for A Nursing Standard Operating Procedure

2020 ◽  
Author(s):  
Mateusz Puslecki ◽  
Marek Dabrowski ◽  
Konrad Baumgart ◽  
Marcin Ligowski ◽  
Agata Dabrowska ◽  
...  
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Operating Procedure ◽  
Nursing Care ◽  
Work Organization ◽  
Standard Operating Procedure ◽  
Multidisciplinary Teams ◽  
Daily Routine ◽  
High Fidelity ◽  
Membrane Oxygenation ◽  
Standard Operating

Abstract Background: Extracorporeal membrane oxygenation (ECMO) therapy is proven to be efficient in a selected critically ill patient population and is showing promising results in refractory hypoxemia in the novel coronavirus disease (COVID-19). However, it necessitates specialized clinicians and advanced technological resources. While COVID-19 is an ongoing global emergency, there is no evidence-based practice in preparedness. This article proposes an innovative and optimized nursing care protocol, the Standard Operating Procedure (SOP), that increase safety, and prevents overuse of personal protective equipment (PPE) without interfering with therapy during ECMO in COVID-19 patients. Methods: A high-fidelity simulation scenario was developed. It included practicing safe and proper PPE donning and doffing during work organization, ECMO cannulation and ECMO-related procedures, and routine daily nursing care and management of patients on ECMO over nine hours. Results: Results were collected in three parts – proposal of nursing standardized operating procedures. They provide including work organization, work load references, competences and infrastructural conditions. Additionally, the cannulation equipment checklist proposal and daily routine nursing algorithm with other procedures during extracorporeal support were created.Conclusions: High-fidelity medical simulation can play an important role in staff training, improvement in previously gained proficiency, and development of optimal SOP for nursing care and management during ECMO in patients with COVID-19. Optimal SOPs may further guide multidisciplinary teams including intensive care units and interventional departments.

Sign in / Sign up

Export Citation Format

Share Document