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#1Kai Man Chan (CUHK: The Chinese University of Hong Kong)
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Air in circuit in patients receiving extracorporeal membrane oxygenation (ECMO) is an emergency. Different protocols have been suggested to deal with this rare but fatal complication, but their efficacies are rarely reported. We report our institutions' experience in the management of circuit air in Cardiohelp HLS ECMO system. Between October 2009 and July 2020, 4 out of 116 patients developed gas bubbles in ECMO circuit or systemic gas embolism. The clinical characteristics of these patients, s...
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#1Michael Mazzeffi (UMB: University of Maryland, Baltimore)H-Index: 16
#2Reney A. HendersonH-Index: 8
Last. Ronson J. MadathilH-Index: 4
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#1Hadrien Winiszewski (UFC: University of Franche-Comté)H-Index: 3
Last. Gaël PitonH-Index: 15
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Although being a potential major source of infection in extracorporeal membrane oxygenation (ECMO) patients, data regarding cannula-related infections (CRI) remain scarce. We therefore aimed at describing the epidemiology of CRI among critically ill patients supported by ECMO. Between October 2017 and November 2019, adult patients supported by either venoarterial (VA), venopulmonary arterial, or venovenous (VV) ECMO for more than 24 hours were prospectively enrolled. When CRI was suspected, cann...
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#1Joseph E. TonnaH-Index: 11
#2Darryl AbramsH-Index: 27
Last. Kiran ShekarH-Index: 24
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Disclaimer: The use of venovenous extracorporeal membrane oxygenation (VV ECMO) in adults has rapidly increased worldwide. This ELSO guideline is intended to be a practical guide to patient selection, initiation, cannulation, management, and weaning of VV ECMO for adult respiratory failure. This is a consensus document which has been updated from the previous version to provide guidance to the clinician.
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#1Michael Zaliznyak (Cedars-Sinai Medical Center)H-Index: 2
#2L. SternH-Index: 3
Last. Michelle M. KittlesonH-Index: 28
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Durable mechanical circulatory support (dMCS) devices can be offered as a bridge-to-transplant (BTT) or as a bridge-to-candidacy (BTC) strategy for candidates with contraindications to transplant listing, including pulmonary hypertension (BTC-PH), morbid obesity (BTC-Obes), social issues (BTC-Soc), or chronic illness (BTC-Illness). An understanding of the trajectory of BTC patients could guide future triage of advanced heart failure patients who are not candidates for transplantation. We perform...
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Although extracorporeal cardiopulmonary resuscitation (ECPR) is increasingly utilized in the pediatric critical care environment, our understanding regarding pediatric candidacy for ECPR remains unknown. Our objective is to explore current practice and indications for pediatric ECPR. Scenario-based, self-administered, online survey, evaluating clinical determinants that may impact pediatric ECPR initiation with respect to four scenarios: postoperative cardiac surgery, cardiac failure secondary t...
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#1Francesco Fiusco (Karolinska University Hospital)
#2Lars Mikael BromanH-Index: 9
Last. Lisa Prahl WittbergH-Index: 9
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Extracorporeal membrane oxygenation (ECMO) is a therapy used in severe cardiopulmonary failure. Blood is pumped through an artificial circuit exposing it to nonphysiologic conditions, which promote platelet activation and coagulation. Centrifugal pumps used at lower flow rates than their design point may lose pump efficiency and increase the risk of hemolysis. In this study, thrombogenic properties of two ECMO pumps designed for adult and neonatal use were evaluated using simulations in differen...
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#1Madeleen Bosma (Valley Hospital)
#2Erik ScholtenH-Index: 4
Last. Chris M. HackengH-Index: 1
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