Extracorporeal Membrane Oxygenation

Wheeler, Craig R; Bullock, Kevin

doi:10.4187/respcare.10929

Cited by 5 publications

(3 citation statements)

References 76 publications

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“…The use of ECMO has grown significantly in recent years, with over 190,000 cases reported to the International Extracorporeal Life Support Organization Registry [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Factors associated with post-hospitalization dialysis dependence in ECMO patients who required continuous renal replacement therapy

Franco Palacios,

Hoxhaj,

Thigpen

et al. 2024

Renal Failure

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Objective This single center retrospective study aimed to describe the variables associated with outpatient dialysis dependence in extracorporeal membrane oxygenation (ECMO) patients who needed continuous renal replacement therapy (CRRT) for acute kidney injury (AKI) during their hospitalization. Methods Retrospective study of patients who required ECMO-CRRT. Results Between the years of 2016 and 2022, 202 patients required ECMO-CRRT. One hundred and six patients (52.5%) survived their hospitalization and were followed up for a median of 391 [133, 1005] days. Eighty-one patients (76.5%) recovered kidney function and were dialysis-free before hospital discharge. Twenty-five patients (23.5%) were hemodialysis-dependent after hospitalization. On multivariate regression analysis, hyperlipidemia (odds ratio, OR 6.08 [1.67–22]) and CRRT duration (OR 1.09 [1.03–1.15]) were associated with the need for dialysis post-hospitalization. In this group, 16 patients eventually became dialysis-free, after a median of 49 [34.7, 78.5] days. These patients had a higher median baseline glomerular filtration rate (GFR) compared to those who never recovered renal function (93 mL/min/1.73 m 2 [82.4, 104.3] vs. 63.8 mL/min/1.73 m 2 [37.9, 83], p = .009). Their follow-up GFR was lower compared to those who recovered renal function before hospital discharge; (87 mL/min/1.73 m 2 [68.2, 98.9] vs. 99 mL/min/1.73 m 2 [79, 118], p = .07). Conclusions AKI requiring CRRT was associated with high mortality in patients receiving ECMO. Nonetheless, most ECMO survivors became dialysis-free before hospital discharge. Variables associated with the need for outpatient dialysis included hyperlipidemia and prolonged need for CRRT during hospitalization.

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“…The use of ECMO has grown significantly in recent years, with over 190,000 cases reported to the International Extracorporeal Life Support Organization Registry [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Factors associated with post-hospitalization dialysis dependence in ECMO patients who required continuous renal replacement therapy

Franco Palacios,

Hoxhaj,

Thigpen

et al. 2024

Renal Failure

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“… 10 11 As of 2022, the Extracorporeal Life Support Organization annual report revealed that 42% of patients successfully weaned off ECMO, 44% were discharged from the hospital or awaiting organ transplantation and over 14% of survivors achieved a favourable neurological status. 12 In summary, while ECPR has brought significant survival benefits to cardiac arrest patients, there remains a considerable gap in reaching the ideal survival rate and achieving favourable neurological outcomes. Further interventions and research are needed to maximise the impact of ECPR.…”

Section: Introductionmentioning

confidence: 99%

Survival and neurological function in patients treated with extracorporeal membrane oxygenation and therapeutic hypothermia: a protocol for updating a systematic review

Cheng,

Wang,

Guo

et al. 2024

BMJ Open

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IntroductionThe widespread application of extracorporeal membrane oxygenation (ECMO) has enhanced clinical outcomes for patients experiencing cardiac arrest. However, its effectiveness is still limited and falls short of the desired level. Therapeutic hypothermia, which maintains body temperatures between 32°C and 36°C in cardiac arrest patients treated with ECMO, has been proposed as a potential means of neuroprotection and increased survival rates. Nevertheless, it remains controversial, and its impact on patient complications has yet to be fully understood. Thus, this paper aims to update the protocol for a systematic review of patients treated with ECMO and therapeutic hypothermia, in order to explore its effects on survival and neurological function.Method and analysisThis protocol has been developed in compliance with the Preferred Reporting Items for Systematic Review and Meta-analysis Protocols 2015. The following databases will be systematically searched: PubMed, Web of Science, Cochrane Library, Embase, Ovid, CNKI, Wanfang and China Biology Medicine Disc. The database search strategy will use a combination of subject terms and free-text keywords. The search will encompass articles from the inception of each database up to 15 June 2023. Inclusion criteria encompass randomised controlled trials, cohort studies, case–control studies and quasi-experimental studies. Two researchers will independently review articles and extract relevant data based on these criteria. Any disagreements will be resolved through discussion. Data analysis will be performed using Review Manager software.Ethics and disseminationSince no patient data were collected in this study, ethical approval was not required. Research findings will be released in a peer-reviewed journal.PROSPERO registration numberCRD42023435353.

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“…[1][2][3] Driven in part by the 2009 H1N1 influenza pandemic and the 2019 coronavirus disease (COVID-19) pandemic, ECMO has evolved from a form of resuscitative treatment for patients with a low likelihood of survival to a routine part of high-level critical care, and it has become a life-saving support modality for patients in critical care medicine. [4][5][6][7] According to the Extracorporeal Life Support Organization (ELSO) statistic, 8,9 as of April 18, 2023, a total of 16,803 cases of ECMO were conducted in the year 2022, with a cumulative total of 196,108 cases, and 54% of the patients survived to hospital discharge or transfer. However, ECMO is technically complex, demanding, and challenging to manage during operation; 10,11 Therefore, it often requires specialized teamwork, and ECMO nurses play a significant role during the treatment or management of ECMO patients.…”

Section: Introductionmentioning

confidence: 99%

ICU Nurses’ Perception of Sensitive Indicators of Quality of Care for ECMO Patients in Guizhou Province, China: A Cross-Sectional Study

Cui,

Wang,

et al. 2024

RMHP

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This study aimed to investigate the cognitive evaluation level of ICU nurses in Guizhou Province, China, on the sensitivity indicators of nursing quality for ECMO patients. Patients and Methods: This was a cross-sectional observational study conducted in Guizhou Province, China, from May to July 2023, 259 ICU nurses were surveyed. Objective sampling method was used to select the participants from 10 hospitals in Guizhou Province that carried out ECMO. Data were collected through questionnaire survey. Two researchers checked and recorded Epidata 3.1. SPSS 25.0 was used for statistical analysis of the data, and frequency, mean and component ratio were used for descriptive statistical analysis. The importance rating was used to reflect the degree of nurses' agreement with the indicators. Results:The results of this study showed that 79.1% of the 253 ICU nurses in Guizhou Province, China, had not participated in training and courses related to indicators of quality of care evaluation for ECMO patients. The main way for ICU nurses to acquire knowledge related to indicators of quality of care sensitivity for ECMO patients was departmental training, which accounted for 87.4%. And the other ways, in descending order, were public, the matic lectures or academic conferences, journals and magazines; their evaluation scores of the importance of most of the quality of care sensitivity indicators for ECMO patients was moderate, with the scores ranging from 73 to 150. Among them, the range of importance evaluation scores for each indicator was 4.01 ~ 4.48. Conclusion:The overall cognitive evaluation of ICU nurses in Guizhou Province, China, on most sensitivity indicators of quality of care for ECMO patients was moderate, and there is a general lack of systematic courses and training on the knowledge related to ECMO care quality sensitive indicators.

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Extracorporeal Membrane Oxygenation

Cited by 5 publications

References 76 publications

Factors associated with post-hospitalization dialysis dependence in ECMO patients who required continuous renal replacement therapy

Factors associated with post-hospitalization dialysis dependence in ECMO patients who required continuous renal replacement therapy

Survival and neurological function in patients treated with extracorporeal membrane oxygenation and therapeutic hypothermia: a protocol for updating a systematic review

ICU Nurses’ Perception of Sensitive Indicators of Quality of Care for ECMO Patients in Guizhou Province, China: A Cross-Sectional Study

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