The Inflammatory Response to ECMO

The Inflammatory Response to ECMO

Extracorporeal membrane oxygenation (ECMO) is a technology capable of providing short-term mechanical support to the heart, lungs or both. Over the last decade, the number of centres offering ECMO has grown rapidly. At the... read more

Factors Associated With Bed Utilization and Development of a Benchmarking Model

Factors Associated With Bed Utilization and Development of a Benchmarking Model

ICU length of stay (LOS) is an important measure of resource use and economic performance. Our primary aims were to characterize the utilization of PICU beds and to develop a new model for PICU length of stay. PICU bed utilization... read more

ECMO for Severe Middle East Respiratory Syndrome Coronavirus

ECMO for Severe Middle East Respiratory Syndrome Coronavirus

Extracorporeal membrane oxygenation (ECMO) use, as a rescue therapy, was associated with lower mortality in MERS patients with refractory hypoxemia. The results of this, largest to date, support the use of ECMO as a rescue... read more

Six-month Outcome of Immunocompromised Severe ARDS Patients Rescued by ECMO

Six-month Outcome of Immunocompromised Severe ARDS Patients Rescued by ECMO

Recently diagnosed immunodeficiency is associated with a much better prognosis in ECMO-treated severe ARDS. However, low 6-month survival of our large cohort of immunocompromised patients supports restricting ECMO to patients... read more

Choosing the Appropriate Configuration and Cannulation Strategies for ECMO

Choosing the Appropriate Configuration and Cannulation Strategies for ECMO

Extracorporeal membrane oxygenation (ECMO) is becoming a common procedure to support patients with severe cardio-circulatory or respiratory failure as well as in case of combined compromise of the two systems. Deciding which... read more

Microcirculatory assessment of patients under VA-ECMO

Microcirculatory assessment of patients under VA-ECMO

Of the 24 patients included in the study population, 15 survived and 9 died while on VA-ECMO. PVD of the sublingual microcirculation at initiation of VA-ECMO can be used to predict ICU mortality in patients with cardiogenic... read more

Successful Long-Term ECMO for Invasive Pulmonary Aspergillosis

Successful Long-Term ECMO for Invasive Pulmonary Aspergillosis

Extracorporeal membrane oxygenation is an established life-saving procedure for severe acute respiratory failure due to various causes. Long-term extracorporeal membrane oxygenation might be considered if the primary causes... read more

ECMO for Adult Respiratory Failure: 2017 Update

ECMO for Adult Respiratory Failure: 2017 Update

The use of extracorporeal membrane oxygenation (ECMO) for respiratory failure in adults is growing rapidly, driven in large part by advances in technology, which have made ECMO devices easier to implement, safer and more... read more

Extracorporeal membrane oxygenation for poisoning in adult patients: outcomes and predictors of mortality

Extracorporeal membrane oxygenation for poisoning in adult patients: outcomes and predictors of mortality

Data on outcomes from severe poisoning in adults receiving extracorporeal membrane oxygenation (ECMO) is currently confined to single-center experiences or specific etiologies. While ECMO cannot facilitate toxin removal,... read more

The Basics of Veno-Arterial and Veno-Venous ECMO and the Indications of ECMO Therapy

Sean P. Kane, PharmD, BCPS, speaks with Elliott Cohen, MD about extracorporeal membrane oxygenation (ECMO). In the episode, the basics of Veno-Arterial (VA) and Veno-Venous (VV) ECMO are outlined and the indications of ECMO... read more

Opening pressures and atelectrauma in ARDS

Opening pressures and atelectrauma in ARDS

Data show that the prerequisites of the open lung strategy are not satisfied using PEEP up to 15 cmH2O and plateau pressure up to 30 cmH2O. For an effective open lung strategy, higher pressures are required. Therefore,... read more

Severe Adult ARDS Prediction Models

Severe Adult ARDS Prediction Models

Outcomes and survival prediction models for severe adult acute respiratory distress syndrome treated with extracorporeal membrane oxygenation. Although the use of ECMO for severe refractory ARDS has markedly increased since... read more