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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...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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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. |
format | Online Article Text |
id | pubmed-9865097 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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