Extracorporeal membrane oxygenation in adult patients with acute respiratory distress syndrome

Terragni, Pierpaolo; Faggiano, Chiara; Ranieri, V. Marco

doi:10.1097/mcc.0000000000000053

Cited by 37 publications

(25 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…These early studies showed improved mortality in models of lidocaine and amitriptyline poisoning [11,12]. Numerous human case reports and case series have since shown favorable outcomes although ECMO has been primarily used in poisonings involving pharmaceuticals such as antidysrhythmics and other cardiovascular medications, as well as tricyclic antidepressants [13][14][15][16][17][18][19][20][21][22][23][24][25].…”

Section: Discussionmentioning

confidence: 99%

Extracorporeal Membrane Oxygenation (ECMO) for Severe Toxicological Exposures: Review of the Toxicology Investigators Consortium (ToxIC)

et al. 2015

View full text Add to dashboard Cite

Although there have been many developments related to specific strategies for treating patients after poisoning exposures, the mainstay of therapy remains symptomatic and supportive care. One of the most aggressive supportive modalities is extracorporeal membrane oxygenation (ECMO). Our goal was to describe the use of ECMO for toxicological exposures reported to the American College of Medical Toxicology (ACMT) Toxicology Investigators Consortium (Tox-IC). We performed a retrospective review of the ACMT ToxIC Registry from January 1, 2010 to December 31, 2013. Inclusion criteria included patients aged 0 to 89 years, evaluated between January 2010 through December 2013, and received ECMO for toxicological exposure. There were 26,271 exposures (60 % female) reported to the ToxIC Registry, 10 (0.0004 %) received ECMO: 4 pediatric (< 12 years), 2 adolescent (12-18 years), and 4 adults (>18 years). Time of initiation of ECMO ranged from 4 h to 4 days, with duration from 15 h to 12 days. Exposures included carbon monoxide/smoke inhalation (2), bitter almonds, methanol, and several medications including antihistamines (2), antipsychotic/ antidepressant (2), cardiovascular drugs (2), analgesics (2), sedative/hypnotics (2), and antidiabetics (2). Four ECMO patients received cardiopulmonary resuscitation (CPR) during their hospital course, and the overall survival rate was 80 %. ECMO was rarely used for poisoning exposures in the ACMT ToxIC Registry. ECMO was utilized for a variety of ages and for pharmaceutical and non-pharmaceutical exposures. In most cases, ECMO was administered prior to cardiovascular failure, and survival rate was high. If available, ECMO may be a valid treatment modality.

show abstract

Section: Discussionmentioning

confidence: 99%

Extracorporeal Membrane Oxygenation (ECMO) for Severe Toxicological Exposures: Review of the Toxicology Investigators Consortium (ToxIC)

et al. 2015

View full text Add to dashboard Cite

show abstract

“…The study shows that an ECMO-based management protocol significantly improves survival without severe disability, if compared with conventional mechanical ventilation. The absolute risk reduction for the primary outcome (death or severe disability) was 16 %, which translates to a number needed to treat of six patients [8]. First case report of using prolonged bypass for TRALI treatment was described by Nouraei et al in 2003 [9].…”

Section: Discussionmentioning

confidence: 99%

Transfusion-Related Acute Lung Injury in Multiple Trauma Patient: Successful Use of Extracorporeal Membrane Oxygenation

Karosas

Bakšienė²,

Šipylaitė

et al. 2017

Medicinos Teorija Ir Praktika

View full text Add to dashboard Cite

SANTRAUKASu 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. ABSTRACTKey words: acute lung injury, blood transfusion, extracorporeal membrane oxygenation. Transfusion-related acute lung injury is the leading cause of morbidity and mortality among transfusion related reactions. The syndrome develops within 6 hours of transfusion of plasma containing blood products. We present a case report of a patient with multiple trauma who developed severe transfusion-related acute lung injury and was successfully managed with extracorporeal membrane oxygenation.

show abstract

“…1 The dramatic increase in the use of ECLS starts with the rise of H1N1 viral pneumonia causing severe ARDS and respiratory failure. 2 Over a 3-month period from June 2009 to August 2009, 722 patients with H1N1 were treated at intensive care units in Australia and New Zealand, with 456 patients requiring mechanical ventilation. 3 Of these, 61 patients with confirmed influenza pneumonia were managed using ECLS for a median of 10 days with a 78% survival.…”

Section: Update On Epidemiologymentioning

confidence: 99%

Extracorporeal life support: Updates and controversies

Gadepalli

Hirschl

2015

Seminars in Pediatric Surgery

View full text Add to dashboard Cite

Extracorporeal membrane oxygenation in adult patients with acute respiratory distress syndrome

Cited by 37 publications

References 26 publications

Extracorporeal Membrane Oxygenation (ECMO) for Severe Toxicological Exposures: Review of the Toxicology Investigators Consortium (ToxIC)

Extracorporeal Membrane Oxygenation (ECMO) for Severe Toxicological Exposures: Review of the Toxicology Investigators Consortium (ToxIC)

Transfusion-Related Acute Lung Injury in Multiple Trauma Patient: Successful Use of Extracorporeal Membrane Oxygenation

Extracorporeal life support: Updates and controversies

Contact Info

Product

Resources

About