Insufficient left ventricular unloading after extracorporeal membrane oxygenation

Wei, Hu; Zhou, Jian; Chen, L.; Huang, Jun; Zhu, Yinsu; Yuan, Tianyi

doi:10.1007/s00059-018-4711-5

Cited by 5 publications

(1 citation statement)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The adult-related indications for ECMO weaning were used as a reference in our centre, which included the following [ 12 ]: stable haemodynamic conditions ≥ 2–4 h; dosages of vasoactive drugs such as dopamine and dobutamine < 10 µg/kg/min; oxygen saturation of internal jugular vein > 70%; pulse pressure close to normal; LV ejection fraction (LVEF) > 40%; central venous pressure ≤ 12 mmHg.…”

Section: Methodsmentioning

confidence: 99%

Lung ultrasound to evaluate pulmonary changes in patients with cardiogenic shock undergoing extracorporeal membrane oxygenation: a retrospective study

et al. 2023

View full text Add to dashboard Cite

Purpose The aim of the study was to evaluate the value of lung ultrasound (LUS) in patients with cardiogenic shock treated by venoarterial extracorporeal membrane oxygenation (VA-ECMO). Methods A retrospective study was conducted in Xuzhou Central Hospital from September 2015 to April 2022. Patients with cardiogenic shock who received VA-ECMO treatment were enrolled in this study. The LUS score was obtained at the different time points of ECMO. Results Twenty-two patients were divided into a survival group (n = 16) and a nonsurvival group (n = 6). The intensive care unit (ICU) mortality was 27.3% (6/22). The LUS scores in the nonsurvival group were significantly higher than those in the survival group after 72 h (P < 0.05). There was a significant negative correlation between LUS scores and PaO2/FiO2 and LUS scores and pulmonary dynamic compliance(Cdyn) after 72 h of ECMO treatment (P < 0.001). ROC curve analysis showed that the area under the ROC curve (AUC) of T72-LUS was 0.964 (95% CI 0.887 ~ 1.000, P < 0.01). Conclusion LUS is a promising tool for evaluating pulmonary changes in patients with cardiogenic shock undergoing VA-ECMO. Trial registration The study had been registered in the Chinese Clinical Trial Registry(NO.ChiCTR2200062130 and 24/07/2022).

show abstract

Section: Methodsmentioning

confidence: 99%

Lung ultrasound to evaluate pulmonary changes in patients with cardiogenic shock undergoing extracorporeal membrane oxygenation: a retrospective study

et al. 2023

View full text Add to dashboard Cite

show abstract

Chinese Society of Cardiology guidelines on the diagnosis and treatment of adult fulminant myocarditis

Jiang,

Shu,

Wang

et al. 2024

Sci. China Life Sci.

View full text Add to dashboard Cite

Successful treatment of fulminant myocarditis in an adult in emergency department

Liu

2019

Medicine

View full text Add to dashboard Cite

Rationale: Fulminant myocarditis (FM) has poor prognosis and the usual treatment is inotropes and symptomatic support. The initiation of extracorporeal membrane oxygenation (ECMO) and intra-aortic balloon pumping (IABP) in the emergency department (ED) is a rare event. Patient concerns: We report the case of a 45-year-old man with a complaint of 4 days of high fever and dry cough in the emergency department. Diagnosis: Transthoracic echocardiogram and the medical history showed presumptive diagnosis was fulminant myocarditis with cardiogenic shock. Interventions: The patient's condition deteriorated drastically and ECMO was initiated immediately after admission. He experienced electrical storm twice during ECMO support and was successfully treated with the combination with IABP. Outcomes: ECMO and IABP were continued for 11 and 14 days respectively. The patient was discharged on the 81th day after admission, with all his laboratory tests returned to normal. Lessons subsections: The early initiation of ECMO and IABP in the ED is potentially life-saving for suitable patients with FM. It appears promising but has not yet been routinely implemented in underdeveloped and developing countries.

show abstract

Insufficient left ventricular unloading after extracorporeal membrane oxygenation

Abstract: Beta-blockers may prevent the occurrence of electrical storm, and IABP is feasible for the treatment of LV overload after ECMO application.

Cited by 5 publications

References 30 publications

Lung ultrasound to evaluate pulmonary changes in patients with cardiogenic shock undergoing extracorporeal membrane oxygenation: a retrospective study

Lung ultrasound to evaluate pulmonary changes in patients with cardiogenic shock undergoing extracorporeal membrane oxygenation: a retrospective study

Chinese Society of Cardiology guidelines on the diagnosis and treatment of adult fulminant myocarditis

Successful treatment of fulminant myocarditis in an adult in emergency department

Contact Info

Product

Resources

About