Extracorporeal membrane oxygenation cardiopulmonary resuscitation, a luxury we cannot afford missing: a narrative review

Aluminium phosphide (AP) is a pesticide used against rodents and insects. Exposure of AP to water releases phosphine gas. Phosphine is a highly toxic mitochondrial poison to which there is no known antidote. We report a case of a 3-year-old female with accidental home exposure to AP, which resulted in cardiac arrest, who was successfully supported with extracorporeal membrane oxygenation (ECMO).

Download Full-text

Limb ischemia in peripheral veno-arterial extracorporeal membrane oxygenation: a narrative review of incidence, prevention, monitoring, and treatment

Critical Care ◽

10.1186/s13054-019-2541-3 ◽

2019 ◽

Vol 23 (1) ◽

Cited By ~ 13

Author(s):

Eleonora Bonicolini ◽

Gennaro Martucci ◽

Jorik Simons ◽

Giuseppe M. Raffa ◽

Cristina Spina ◽

...

Keyword(s):

Extracorporeal Membrane Oxygenation ◽

Limb Ischemia ◽

Narrative Review ◽

Membrane Oxygenation

Download Full-text

Protective effect of extracorporeal membrane oxygenation on intestinal mucosal injury after cardiopulmonary resuscitation in pigs

Experimental and Therapeutic Medicine ◽

10.3892/etm.2019.8087 ◽

2019 ◽

Author(s):

Yong Liang ◽

Chunsheng Li ◽

Bo Liu ◽

Qiang Zhang ◽

Xiaoli Yuan ◽

...

Keyword(s):

Cardiopulmonary Resuscitation ◽

Extracorporeal Membrane Oxygenation ◽

Protective Effect ◽

Mucosal Injury ◽

Membrane Oxygenation ◽

Intestinal Mucosal Injury

Download Full-text

Clinical prognosis analysis of extracorporeal membrane oxygenation in patients with heart transplantation

10.21203/rs.2.9490/v1 ◽

2019 ◽

Author(s):

Xiaozu Liao ◽

Zhou Cheng ◽

Liqiang Wang ◽

Binfei Li ◽

Weizhao Huang ◽

...

Keyword(s):

Risk Factor ◽

Cardiopulmonary Resuscitation ◽

Extracorporeal Membrane Oxygenation ◽

Heart Transplantation ◽

Independent Risk Factor ◽

Life Support ◽

Univariate Analysis ◽

Clinical Prognosis ◽

Ischemia Time ◽

Membrane Oxygenation

Abstract Purpose Extracorporeal membrane oxygenation (ECMO) is the primary indication for transplanted right heart failure in transition and postoperative period for heart transplantation patients. This study explored risk factors affecting the clinical prognosis of ECMO through analyzing the clinical data of heart transplantation patients with such condition. Methods Data on 28 heart transplantation patients with ECMO obtained from January 2012 to January 2018 in the People’s Hospital of Zhongshan City were retrospectively analyzed. Results A total of 25 patients (20 male and 5 female) were included in this study. Heart transplantation among patients was performed mainly due to cardiomyopathy (77.8%). Eighteen patients survived and were discharged 18 (72%). Four patients were treated with cardiopulmonary resuscitation before ECMO, and three patients died in the hospital. No differences existed among the surviving and death group donors (N-terminal pro b-type natriuretic peptide（NT-proBNP）, creatine kinase-muscle/brain（CK-MB）, warm ischemia time of donated heart, cold ischemia time of donated heart, total ischemia time of donated heart, and donator type). Univariate analysis showed that body mass index(BMI), length of stay in intensive care unit(ICU), and cardiopulmonary resuscitation are relevant prognosis factors in applying ECMO for patients with heart transplantation. Multi-factor logistic regression results show that cardiopulmonary resuscitation before ECMO (OR: 49.45, 95% CI[1.37, 1781.6]; P=0.033) is an independent risk factor influencing prognosis. Conclusion ECMO is an important life support method for patients with heart transplantation before and after the operation. Patients with obesity, poor preoperative cardiac function, and considerable red blood cell transfusions during surgery may influence the prognosis of patients. Extracardiac compression before ECMO of patients is an independent risk factor for their prognosis.

Download Full-text

Features of Patients Receiving Extracorporeal Membrane Oxygenation Relative to Cardiogenic Shock Onset: A Single-Centre Experience

Medicina ◽

10.3390/medicina57090886 ◽

2021 ◽

Vol 57 (9) ◽

pp. 886

Author(s):

Dong-Geum Shin ◽

Sang-Deock Shin ◽

Donghoon Han ◽

Min-Kyung Kang ◽

Seung-Hun Lee ◽

...

Keyword(s):

Myocardial Infarction ◽

Mortality Rate ◽

Cardiopulmonary Resuscitation ◽

Extracorporeal Membrane Oxygenation ◽

Cardiogenic Shock ◽

Subgroup Analysis ◽

Shock Group ◽

Shock Onset ◽

Membrane Oxygenation ◽

Admission Group

Background and Objectives: Extracorporeal membrane oxygenation (ECMO) can be helpful in patients with cardiogenic shock associated with myocardial infarction, and its early use can improve the patient survival rate. In this study, we report a mortality rate-difference analysis that examined the time and location of shock occurrence. Materials and Methods: We enrolled patients who underwent ECMO due to cardiogenic shock related to myocardial infarction and assigned them to either a pre- or post-admission shock group. The primary outcome was the 1-month mortality rate; a subgroup analysis was conducted to assess the effect of bailout ECMO. Results: Of the 113 patients enrolled, 67 (38 with pre-admission shock, 29 with post-admission shock) were analysed. Asystole was more frequently detected in the pre-admission shock group than in the post-admission group. In both groups, the commonest culprit lesion location was in the left anterior descending artery. Cardiopulmonary resuscitation was performed significantly more frequently and earlier in the pre-admission group. The 1-month mortality rate was significantly lower in the pre-admission group than in the post-admission group. Male sex and ECMO duration (≥6 days) were factors significantly related to the reduced mortality rate in the pre-admission group. In the subgroup analysis, the mortality rate was lower in patients receiving bailout ECMO than in those not receiving it; the difference was not statistically significant. Conclusions: ECMO application resulted in lower short-term mortality rate among patients with out-of-hospital cardiogenic shock onset than with in-hospital shock onset; early cardiopulmonary resuscitation and ECMO might be helpful in select patients.

Download Full-text