Outcome of veno-venous extracorporeal membrane oxygenation use in acute respiratory distress syndrome after cardiac surgery with cardiopulmonary bypass

Song, Joo Han; Woo, Won Ki; Song, Seung Hwan; Kim, Hyo-Hyun; Kim, Bong Joon; Kim, Ha Eun; Kim, Do Jung; Suh, Jeewon; Shin, Yu Rim; Park, Han Ki; Lee, Seung Hyun; Joo, Hyun‐Chel; Lee, Sak; Chang, Byung Chul; Yoo, Koo Han; Kim, Young Sam; Youn, Young Nam

doi:10.21037/jtd.2016.05.86

Cited by 19 publications

(26 citation statements)

References 34 publications

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“…The demographics of the patients, type of ECMO treatment used, and the risk factors or outcomes of colonic ischemia were not reported in either study. To date, 3 cases of ischemic colitis have been found in 2 of the studies that evaluated patients who received only VV-ECMO [ 5 , 6 ]. All of the patients were in their 70s and had respiratory failure due to various etiologies.…”

Section: Discussionmentioning

confidence: 99%

“…There is emerging but scarce evidence that ischemic colitis can occur in patients treated with VV-ECMO. To the best of our knowledge, only 3 such cases have been reported in the literature, all of whom subsequently died [ 5 , 6 ]. We present a rare case of a patient receiving VV-ECMO treatment who developed ischemic colitis with subsequent recovery with non-surgical management.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Ischemic Colitis in a Patient on Venovenous Extracorporeal Membrane Oxygenation (VV-ECMO) Treatment: An Emerging Complication?

et al. 2020

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Ischemic Colitis in a Patient on Venovenous Extracorporeal Membrane Oxygenation (VV-ECMO) Treatment: An Emerging Complication?

et al. 2020

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“…These three cases occurred over a 5-year period when approximately 500 TAAA repair cases were performed. Although ECMO for ARDS after TAAA repair has not been reported, early hypoxemia (within 24 hours after cardiac operation) is associated with 46% in-hospital mortality [6]. Hypoxemia adversely affects oxygen delivery to the brain, spinal cord, and other vital organs.…”

Section: Commentmentioning

confidence: 99%

ECMO for Acute Respiratory Distress Syndrome After Thoracoabdominal Aortic Aneurysm Repair

Chatterjee

Mulvoy²,

Preventza

et al. 2018

The Annals of Thoracic Surgery

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Acute respiratory distress syndrome (ARDS) after thoracoabdominal aortic aneurysm (TAAA) repair poses a formidable challenge. Despite conventional maneuvers in the operating room, perioperative ARDS may require extracorporeal membrane oxygenation (ECMO). We present three cases of successful ECMO for ARDS after TAAA repair and discuss management of anticoagulation and cerebrospinal fluid drains. Our experience suggests that ECMO is reasonable in selected patients after TAAA repair.

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“…Most importantly, MV prior to initiation of ECMO is an important component in the calculation of Respiratory ECMO Survival Prediction (RESP) score. This score has been validated to assist prediction of survival for adult patients undergoing ECMO for respiratory failure [4, 32]. However, it is still difficult to determine a specific time point after which the initiation of ECMO can be considered futile.…”

Section: Timing Of Ecmo Initiation: Indications From Ventilation Pmentioning

confidence: 99%

Mechanical Ventilation during Extracorporeal Membrane Oxygenation in Patients with Acute Severe Respiratory Failure

Zhang

Chen

et al. 2017

Canadian Respiratory Journal

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Conventionally, a substantial number of patients with acute respiratory failure require mechanical ventilation (MV) to avert catastrophe of hypoxemia and hypercapnia. However, mechanical ventilation per se can cause lung injury, accelerating the disease progression. Extracorporeal membrane oxygenation (ECMO) provides an alternative to rescue patients with severe respiratory failure that conventional mechanical ventilation fails to maintain adequate gas exchange. The physiology behind ECMO and its interaction with MV were reviewed. Next, we discussed the timing of ECMO initiation based on the risks and benefits of ECMO. During the running of ECMO, the protective ventilation strategy can be employed without worrying about catastrophic hypoxemia and carbon dioxide retention. There is a large body of evidence showing that protective ventilation with low tidal volume, high positive end-expiratory pressure, and prone positioning can provide benefits on mortality outcome. More recently, there is an increasing popularity on the use of awake and spontaneous breathing for patients undergoing ECMO, which is thought to be beneficial in terms of rehabilitation.

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Outcome of veno-venous extracorporeal membrane oxygenation use in acute respiratory distress syndrome after cardiac surgery with cardiopulmonary bypass

Abstract: VV-ECMO support can be a feasible rescue strategy for adult patients who develop refractory ARDS after a cardiac surgery. Additionally, the RESP score seems a valuable prognostic tool for post-ECMO survival outcome in this patient population as well.

Cited by 19 publications

References 34 publications

Ischemic Colitis in a Patient on Venovenous Extracorporeal Membrane Oxygenation (VV-ECMO) Treatment: An Emerging Complication?

Ischemic Colitis in a Patient on Venovenous Extracorporeal Membrane Oxygenation (VV-ECMO) Treatment: An Emerging Complication?

ECMO for Acute Respiratory Distress Syndrome After Thoracoabdominal Aortic Aneurysm Repair

Mechanical Ventilation during Extracorporeal Membrane Oxygenation in Patients with Acute Severe Respiratory Failure

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