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ECMO Retrieval Program: What Have We Learned So Far

Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) is increasingly used for patients with cardiogenic shock or cardiac arrest. However, survival rates remain low. It is unclear to what extent ECMO patients benefit from the ECMO team learning curve. Therefore, we aimed to analyze our mobile...

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Autores principales: Krasivskyi, Ihor, Großmann, Clara, Dechow, Marit, Djordjevic, Ilija, Ivanov, Borko, Gerfer, Stephen, Bennour, Walid, Kuhn, Elmar, Sabashnikov, Anton, Mader, Navid, Eghbalzadeh, Kaveh, Wahlers, Thorsten
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9865097/
https://www.ncbi.nlm.nih.gov/pubmed/36676106
http://dx.doi.org/10.3390/life13010157
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author Krasivskyi, Ihor
Großmann, Clara
Dechow, Marit
Djordjevic, Ilija
Ivanov, Borko
Gerfer, Stephen
Bennour, Walid
Kuhn, Elmar
Sabashnikov, Anton
Mader, Navid
Eghbalzadeh, Kaveh
Wahlers, Thorsten
author_facet Krasivskyi, Ihor
Großmann, Clara
Dechow, Marit
Djordjevic, Ilija
Ivanov, Borko
Gerfer, Stephen
Bennour, Walid
Kuhn, Elmar
Sabashnikov, Anton
Mader, Navid
Eghbalzadeh, Kaveh
Wahlers, Thorsten
author_sort Krasivskyi, Ihor
collection PubMed
description Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) is increasingly used for patients with cardiogenic shock or cardiac arrest. However, survival rates remain low. It is unclear to what extent ECMO patients benefit from the ECMO team learning curve. Therefore, we aimed to analyze our mobile ECMO program patients from the past seven years to evaluate if a learning curve benefits patients’ outcomes. We analyzed 111 patients from our databank who were supported with a VA-ECMO and brought to our hospital from January 2015 to December 2021. Patients were divided into two groups: survival (n = 70) and non-survival (n = 41). As expected, complications after ECMO implantation were more severe in the non-survivor group. The incidence of thromboembolic events (p = 0.002), hepatic failure (p < 0.001), renal failure (p = 0.002), dialysis (p = 0.002) and systemic inflammatory response syndrome (SIRS, p = 0.044) occurred significantly more often compared with the survivor group. We were able to show that despite our extensive experience in terms of ECMO retrieval program the high mortality and morbidity rates stay fairly the same over the years. This displays that we have to focus even more on patient selection and ECMO indication.
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spelling pubmed-98650972023-01-22 ECMO Retrieval Program: What Have We Learned So Far Krasivskyi, Ihor Großmann, Clara Dechow, Marit Djordjevic, Ilija Ivanov, Borko Gerfer, Stephen Bennour, Walid Kuhn, Elmar Sabashnikov, Anton Mader, Navid Eghbalzadeh, Kaveh Wahlers, Thorsten Life (Basel) Article Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) is increasingly used for patients with cardiogenic shock or cardiac arrest. However, survival rates remain low. It is unclear to what extent ECMO patients benefit from the ECMO team learning curve. Therefore, we aimed to analyze our mobile ECMO program patients from the past seven years to evaluate if a learning curve benefits patients’ outcomes. We analyzed 111 patients from our databank who were supported with a VA-ECMO and brought to our hospital from January 2015 to December 2021. Patients were divided into two groups: survival (n = 70) and non-survival (n = 41). As expected, complications after ECMO implantation were more severe in the non-survivor group. The incidence of thromboembolic events (p = 0.002), hepatic failure (p < 0.001), renal failure (p = 0.002), dialysis (p = 0.002) and systemic inflammatory response syndrome (SIRS, p = 0.044) occurred significantly more often compared with the survivor group. We were able to show that despite our extensive experience in terms of ECMO retrieval program the high mortality and morbidity rates stay fairly the same over the years. This displays that we have to focus even more on patient selection and ECMO indication. MDPI 2023-01-05 /pmc/articles/PMC9865097/ /pubmed/36676106 http://dx.doi.org/10.3390/life13010157 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Krasivskyi, Ihor
Großmann, Clara
Dechow, Marit
Djordjevic, Ilija
Ivanov, Borko
Gerfer, Stephen
Bennour, Walid
Kuhn, Elmar
Sabashnikov, Anton
Mader, Navid
Eghbalzadeh, Kaveh
Wahlers, Thorsten
ECMO Retrieval Program: What Have We Learned So Far
title ECMO Retrieval Program: What Have We Learned So Far
title_full ECMO Retrieval Program: What Have We Learned So Far
title_fullStr ECMO Retrieval Program: What Have We Learned So Far
title_full_unstemmed ECMO Retrieval Program: What Have We Learned So Far
title_short ECMO Retrieval Program: What Have We Learned So Far
title_sort ecmo retrieval program: what have we learned so far
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9865097/
https://www.ncbi.nlm.nih.gov/pubmed/36676106
http://dx.doi.org/10.3390/life13010157
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