background: venoarterial extracorporeal membrane oxygenation (ecmo) provides systemic arterial support without directly unloading the left heart, which causes an elevated left ventricular (lv) pressure. the aim of the present study was to investigate the adjunctive application of the impella device for lv unloading in patients during ecmo. methods: this retrospective cohort study included patie...

majority of the critically ill patients usually have some degrees of organ dysfunction or failure. during the organs’ failure period, patients usually hospitalized in icu and the icu itself should be considered as a professional and optimized location for continuous organ replacement therapy as a bridge to recovery or a bridge to transplant. a suitable approach is using organ replacement therap...

conclusions increasing evidence supports the use of ecmo as a bridge to lt, reporting good outcomes. in the modern era of pah therapy, it is feasible to use prolonged ecmo support as a bridge to lung transplant, with the aim of weaning off this support; however, its use requires more experience and knowledge of long-term outcomes. introduction the use of extracorporeal membrane oxygenation (ecm...

INTRODUCTION Mortality of patients on extracorporeal membrane oxygenation (ECMO) remains high. The objectives of this study were to assess the factors associated with outcome of patients undergoing ECMO in a large ECMO referral centre and to compare veno-arterial ECMO (VA ECMO) with veno-venous ECMO (VV ECMO). METHODS We reviewed a prospectively obtained ECMO database and patients' medical re...

Extracorporeal membrane oxygenation (ECMO) may be a life-saving procedure for patients with severe reversible pulmonary or cardiac failure or for patients in need for a bridge to transplantation. ECMO is provided by specialized centers, but patients in need of ECMO are frequently taken care of at other centers. Conventional transports to an ECMO center can be hazardous and deaths have been desc...

PURPOSE Hemolysis during extracorporeal membrane oxygenation (ECMO) may be associated with the development of hemoglobinuria (Hb) nephropathy and acute renal failure. For patients requiring ECMO, continuous renal replacement therapy (CRRT) can be simultaneously performed by attaching a hemofilter to the ECMO circuit, thereby shunting part of the ECMO blood flow through the hemofilter. However, ...

BACKGROUND The Extracorporeal Life Support Organization (ELSO) has suggested that extracorporeal membrane oxygenation (ECMO) patients should be managed by a multidisciplinary team. However, there are limited data on the impact of ECMO team on the outcomes of patients with severe acute respiratory failure. METHODS All consecutive patients with severe acute respiratory failure who underwent ECM...

BACKGROUND Nosocomial infections occurring during extracorporeal membrane oxygenation (ECMO) support have already been reported, but few studied infections directly related to ECMO devices. This study aims to evaluate the rate of both colonisations and infections related to ECMO devices at the time of ECMO removal. RESULTS We included all consecutive adult patients treated with venovenous ECM...

respiratory failure is a serious complication of h1n1 influenza that, if not properly managed, can cause death. when mechanical ventilation is not effective, the only way to save the patient’s life is extracorporeal membrane oxygenation (ecmo). a prolonged type of cardiopulmonary bypass, ecmo is a high-cost management modality compared to other conventional types and its maintenance requires sk...