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Min JJ, Tay CK, Ryu DK, Wi W, Sung K, Lee YT, Cho YH, Lee JH. Extracorporeal cardiopulmonary resuscitation in refractory intra-operative cardiac arrest: an observational study of 12-year outcomes in a single tertiary hospital. Anaesthesia 2018; 73:1515-1523. [DOI: 10.1111/anae.14412] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/03/2018] [Indexed: 11/30/2022]
Affiliation(s)
- J. J. Min
- Department of Anaesthesiology and Pain Medicine; Department of Thoracic and Cardiovascular Surgery; Samsung Medical Centre; Sungkyukwan University School of Medicine; Seoul Korea
| | - C. K. Tay
- Department of Respiratory and Critical Care; Singapore General Hospital; Singapore
| | - D. K. Ryu
- Department of Anaesthesiology and Pain Medicine; Department of Thoracic and Cardiovascular Surgery; Samsung Medical Centre; Sungkyukwan University School of Medicine; Seoul Korea
| | - W. Wi
- Department of Anaesthesiology and Pain Medicine; Department of Thoracic and Cardiovascular Surgery; Samsung Medical Centre; Sungkyukwan University School of Medicine; Seoul Korea
| | - K. Sung
- Department of Thoracic and Cardiovascular Surgery; Samsung Medical Centre; Sungkyukwan University School of Medicine; Seoul Korea
| | - Y. T. Lee
- Department of Thoracic and Cardiovascular Surgery; Samsung Medical Centre; Sungkyukwan University School of Medicine; Seoul Korea
| | - Y. H. Cho
- Department of Thoracic and Cardiovascular Surgery; Samsung Medical Centre; Sungkyukwan University School of Medicine; Seoul Korea
| | - J.-H. Lee
- Department of Anaesthesiology and Pain Medicine; Department of Thoracic and Cardiovascular Surgery; Samsung Medical Centre; Sungkyukwan University School of Medicine; Seoul Korea
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Charlesworth M, Ashworth AD, Barker JM. Decision-making in response to respiratory veno-venous extracorporeal membrane oxygenation referrals: is current practice precise enough? Anaesthesia 2017; 73:154-159. [DOI: 10.1111/anae.14155] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Affiliation(s)
- M. Charlesworth
- Department of Cardiothoracic Anaesthesia; University Hospital South Manchester; Manchester UK
| | - A. D. Ashworth
- Department of Cardiothoracic Anaesthesia; University Hospital South Manchester; Manchester UK
| | - J. M. Barker
- Department of Cardiothoracic Anaesthesia; University Hospital South Manchester; Manchester UK
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Pinelli F, Romagnoli S, Bevilacqua S, Macchiarini P. Extracorporeal Membrane Oxygenation-Assisted Esophagectomy. J Cardiothorac Vasc Anesth 2015; 29:436-8. [DOI: 10.1053/j.jvca.2014.07.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/26/2014] [Indexed: 11/11/2022]
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Sherren PB, Shepherd SJ, Glover GW, Meadows CIS, Langrish C, Ioannou N, Wyncoll D, Daly K, Gooby N, Agnew N, Barrett NA. Capabilities of a mobile extracorporeal membrane oxygenation service for severe respiratory failure delivered by intensive care specialists. Anaesthesia 2015; 70:707-14. [PMID: 25850687 DOI: 10.1111/anae.13014] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/22/2014] [Indexed: 01/19/2023]
Abstract
We conducted a single-centre observational study of retrievals for severe respiratory failure over 12 months. Our intensivist-delivered retrieval service has mobile extracorporeal membrane oxygenation capabilities. Sixty patients were analysed: 34 (57%) were female and the mean (SD) age was 44.1 (13.6) years. The mean (SD) PaO2 /FI O2 ratio at referral was 10.2 (4.1) kPa and median (IQR [range]) Murray score was 3.25 (3.0-3.5 [1.5-4.0]). Forty-eight patients (80%) required veno-venous extracorporeal membrane oxygenation at the referring centre. There were no cannulation or extracorporeal membrane oxygenation-related complications. The median (IQR [range]) retrieval distance was 47.2 (14.9-77.0 [2.3-342.0]) miles. There were no major adverse events during retrieval. Thirty-seven patients (77%) who received extracorporeal membrane oxygenation survived to discharge from the intensive care unit and 36 patients (75%) were alive after six months. Senior intensivist-initiated and delivered mobile extracorporeal membrane oxygenation is safe and associated with a high incidence of survival.
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Affiliation(s)
- P B Sherren
- Department of Critical Care, St. Thomas' Hospital, London, UK
| | - S J Shepherd
- Department of Critical Care, St. Thomas' Hospital, London, UK
| | - G W Glover
- Department of Critical Care, St. Thomas' Hospital, London, UK
| | - C I S Meadows
- Department of Critical Care, St. Thomas' Hospital, London, UK
| | - C Langrish
- Department of Critical Care, St. Thomas' Hospital, London, UK
| | - N Ioannou
- Department of Critical Care, St. Thomas' Hospital, London, UK
| | - D Wyncoll
- Department of Critical Care, St. Thomas' Hospital, London, UK
| | - K Daly
- Department of Critical Care, St. Thomas' Hospital, London, UK
| | - N Gooby
- Department of Clinical Perfusion, St. Thomas' Hospital, London, UK
| | - N Agnew
- Department of Clinical Perfusion, St. Thomas' Hospital, London, UK
| | - N A Barrett
- Department of Critical Care, St. Thomas' Hospital, London, UK
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Bamber JH, Kinsella SM. MBRRACE-UK - the new home for the Confidential Enquiries into Maternal Deaths - reports for the first time. Anaesthesia 2014; 70:5-9. [DOI: 10.1111/anae.12938] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Direct Complications of the Avalon Bicaval Dual-Lumen Cannula in Respiratory Extracorporeal Membrane Oxygenation (ECMO): Single-Center Experience. Int J Artif Organs 2014; 37:741-7. [DOI: 10.5301/ijao.5000357] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/09/2014] [Indexed: 01/19/2023]
Abstract
Purpose Cannulation for veno-venous extracorporeal membrane oxygenation (VVECMO) may involve a single site when using a dual-lumen cannula. Benefits include a decrease in blood recirculation, easier patient mobilization, and lower risk of dislodgment. We aimed to review all complications related to the cannula. Methods The study included all adult patients admitted to a single intensive care unit (ICU), between November 2009 and September 2013, requiring VVECMO in whom an Avalon Cannula was inserted. The list of patients, complications, and patient data were retrieved from the local ECMO database and the intensive care Clinical Information System (CIS). Results Seventy two patients were cannulated with an Avalon cannula between November 1, 2009 and September 31, 2013. Forty-four patients had no cannula-related complications. A total of 35 complications were recorded in 28 patients, 6 of whom required further intervention. Conclusions Successful cannulation was possible in all patients with the majority of complications graded as minor.
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Noble DW, Bloomfield R. Problem Solving in Intensive Care — The Role of Extracorporeal Technologies. J Intensive Care Soc 2014. [DOI: 10.1177/175114371401500102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Affiliation(s)
- David W Noble
- Consultant in Intensive Care, Aberdeen Royal Infirmary
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