The ABCDE approach to difficult weaning from venoarterial extracorporeal membrane oxygenation

Venoarterial extracorporeal membrane oxygenation (VA ECMO) has been increasingly applied in patients with cardiogenic shock in recent years. Nevertheless, many patients cannot be successfully weaned from VA ECMO support and 1-year mortality remains high. A systematic approach could help to optimize...

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Autores principales: Meuwese, Christiaan L., Brodie, Daniel, Donker, Dirk W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Review
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9284848/
https://www.ncbi.nlm.nih.gov/pubmed/35841052
http://dx.doi.org/10.1186/s13054-022-04089-8
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author Meuwese, Christiaan L.
Brodie, Daniel
Donker, Dirk W.
author_facet Meuwese, Christiaan L.
Brodie, Daniel
Donker, Dirk W.
author_sort Meuwese, Christiaan L.
collection PubMed
description Venoarterial extracorporeal membrane oxygenation (VA ECMO) has been increasingly applied in patients with cardiogenic shock in recent years. Nevertheless, many patients cannot be successfully weaned from VA ECMO support and 1-year mortality remains high. A systematic approach could help to optimize clinical management in favor of weaning by identifying important factors in individual patients. Here, we provide an overview of pivotal factors that potentially prevent successful weaning of VA ECMO. We present this through a rigorous approach following the relatable acronym ABCDE, in order to facilitate widespread use in daily practice.
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spelling pubmed-92848482022-07-16 The ABCDE approach to difficult weaning from venoarterial extracorporeal membrane oxygenation Meuwese, Christiaan L. Brodie, Daniel Donker, Dirk W. Crit Care Review Venoarterial extracorporeal membrane oxygenation (VA ECMO) has been increasingly applied in patients with cardiogenic shock in recent years. Nevertheless, many patients cannot be successfully weaned from VA ECMO support and 1-year mortality remains high. A systematic approach could help to optimize clinical management in favor of weaning by identifying important factors in individual patients. Here, we provide an overview of pivotal factors that potentially prevent successful weaning of VA ECMO. We present this through a rigorous approach following the relatable acronym ABCDE, in order to facilitate widespread use in daily practice. BioMed Central 2022-07-15 /pmc/articles/PMC9284848/ /pubmed/35841052 http://dx.doi.org/10.1186/s13054-022-04089-8 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Review
Meuwese, Christiaan L.
Brodie, Daniel
Donker, Dirk W.
The ABCDE approach to difficult weaning from venoarterial extracorporeal membrane oxygenation
title The ABCDE approach to difficult weaning from venoarterial extracorporeal membrane oxygenation
title_full The ABCDE approach to difficult weaning from venoarterial extracorporeal membrane oxygenation
title_fullStr The ABCDE approach to difficult weaning from venoarterial extracorporeal membrane oxygenation
title_full_unstemmed The ABCDE approach to difficult weaning from venoarterial extracorporeal membrane oxygenation
title_short The ABCDE approach to difficult weaning from venoarterial extracorporeal membrane oxygenation
title_sort abcde approach to difficult weaning from venoarterial extracorporeal membrane oxygenation
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9284848/
https://www.ncbi.nlm.nih.gov/pubmed/35841052
http://dx.doi.org/10.1186/s13054-022-04089-8
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