Search Tag: ECMO
2023 06 Dec
The effectiveness of prone positioning to improve outcomes in patients with severe acute respiratory distress syndrome (ARDS) undergoing venovenous extracorporeal membrane oxygenation (VV-ECMO) compared to supine positioning is unknown. The PRONECMO multicenter randomised clinical trial aimed to address the lack of robust evidence regarding prone...Read more
2023 08 Nov
The use of extracorporeal membrane oxygenation (ECMO) has risen significantly as a rescue therapy for respiratory issues, including those caused by viral infections. Patients on ECMO frequently experience complications like thrombotic events and major bleeding, which are considered ECMO-related issues. However, infections are typically attributed to...Read more
2023 13 Oct
Xenios sponsored a lunch symposium at the 16th European Conference on Paediatric and Neonatal Ventilation (EPNV) in Montreux (CH) in May 2023. Matteo Di Nardo (Italy) introduced the audience to extracorporeal membrane oxygenation (ECMO) in neonates. Florian Kipfmüller (Germany) presented current knowledge and his experience with ECMO in neonates...Read more
2023 28 Jun
A recent review explored the extent and quality of literature investigating the influence of social determinants of health (SDoH) on extracorporeal membrane oxygenation (ECMO) utilisation and outcomes among children and adults. The researchers examined the relationship between factors like socioeconomic status, education, and access to healthcare with...Read more
2023 20 Apr
When patients are critically ill, one or more organs may not function optimally or even fail, so organ support is an important component of ICU management. However, organ support can be associated with complications such as infections, bleeding, and damage to surrounding tissue or organs. These complications can alter the patient's condition,...Read more
2023 20 Apr
During artificial organ support, kidney injury is multifactorial and related to the high severity of patients treated with extracorporeal membrane oxygenation (ECMO). The successful delivery of continuous renal replacement therapy (CRRT) during ECMO requires a clear prescription of the target solute clearance and fluid removal rate based on the cumulative...Read more
2023 20 Apr
Extracorporeal membrane oxygenation is a resource that is accessible in hospitals and intensive care units all over the world. In serious situations, ECMO therapy is intended to provide haemodynamic and/or ventilatory support. Because of this, many people refer to the ECMO patient as "the most critical patient." As a result, there is a very high...Read more
2023 15 Feb
There is increasing evidence supporting the use of extracorporeal membrane oxygenation (ECMO) for severe acute respiratory distress syndrome (ARDS) in patients that do not respond to maximal medical therapy. ARDS can occur in some COVID-19 patients who are hospitalised, and ECMO can be utilised as a treatment option in some cases. Using ECMO can help...Read more
2022 23 Nov
Extracorporeal membrane oxygenation (ECMO) refers to mechanical support in patients for heart or lung function during cardiopulmonary failure. ECMO is used when conventional treatments have failed. As per the international guideline of the Extracorporeal Life Support Organization (ELSO), ECMO should be considered when the estimated mortality risk is...Read more
2022 05 Jul
There have been conflicting results concerning lung recruitability of COVID-19 acute respiratory distress syndrome (ARDS) and the use of techniques derived from changes in respiratory mechanics and/or gas exchange in response to positive end-expiratory pressure (PEEP) increase. Various factors may explain the heterogeneity of reports regarding recruitability...Read more
2021 01 Sep
At the 40th ISICEM International Symposium on Intensive Care & Emergency Medicine this week, Professor Alain Combes of Sorbonne University, Paris, talked about treating COVID-19 patients with the most severe forms of cardiac and respiratory failure. Prof Combes talked about his experience during the pandemic and presented his research that compared...Read more
2021 17 Aug
There is sufficient evidence to show that prone positioning improves oxygenation and respiratory mechanics and is also associated with lower mortality in patients with moderate to severe ARDS. However, some patients can develop refractory hypoxaemia and hypercapnia that could require the use of venovenous extracorporeal membrane oxygenation (VV-ECMO)...Read more
2021 02 Jul
As a cardiac surgeon with extensive experience of lung transplantations, Dr. Wojciech Karolak is used to performing complicated procedures. However, a recent case involving a critically ill female COVID-19 patient on Extracorporeal Membrane Oxygenation (ECMO) became an extraordinary lifesaving experience. “The lung transplant cured the patient,...Read more
2021 22 Jun
Extracorporeal membrane oxygenation (ECMO) has been used in patients with COVID-19 who develop severe acute respiratory distress syndrome (ARDS). ECMO has previously been used in other infectious outbreaks, including the 2009 influenza A (H1N1) and the Middle East Respiratory Syndrome Coronavirus (MERS-CoV) outbreak. The Extracorporeal Life Support...Read more
2021 01 Feb
An in-depth analysis was conducted in Germany to evaluate whether mortailty in Germany in Extracorporeal life support (ECLS) therapy differed from previously reported literature. Extracorporeal life support (ECLS) is a critical component of intensive care therapy. There are various conditions that require the use of ECLS. The term ECLS encompasses...Read more
2020 30 Apr
As the coronavirus spreads and infections with COVID-19 further increase throughout Europe, ECMO therapy turns out to be a necessary option for patients with severe courses. Xenios AG , a subsidiary of Fresenius Medical Care, provides ECMO consoles that can be used for the treatment of patients who develop severe pneumonia and ARDS with lung...Read more
2020 16 Mar
COVID-19 is associated with severe disease requiring intensive care in approximately 5% of proven infections. As with similar outbreaks in the past, including SARS, MERS, A(H7N9), and H1N1, critical care continues to be an integral component of the global response to Coronavirus. You might also like : Coronavirus and the Potential Role of ECMO...Read more
2020 26 Feb
The relatively new coronavirus has already infected thousands of patients in China and is now rapidly spreading globally. Many countries have already reported cases of coronavirus and the WHO has declared coronavirus disease 2019 (COVID-19) a public health emergency and has released preliminary guidelines on management of patients. Most reports...Read more
2019 14 Nov
Out-of-hospital cardiac arrest (OHCA) without return of spontaneous circulation (ROSC) despite conventional resuscitation is common and has poor outcomes. Adding extracorporeal membrane oxygenation (ECMO) to cardiopulmonary resuscitation (extracorporeal-CPR) is increasingly used in an attempt to improve outcomes. A new study analysed a prospective...Read more
2019 30 Aug
Acute Respiratory Distress Syndrome (ARDS) affects up to 10% of patients in the ICU. Typical symptoms of ARDS include an increase in lung weight and a reduction of aerated lung tissue. For the treatment of ARDS alveolar recruitment is key, however, this has not yet been shown to benefit severe ARDS cases. It has been suggested that lung recruitment...Read more
2019 18 Aug
Millions of people with acute respiratory failure are hospitalised every year. Nearly half of these patients require invasive mechanical ventilation. In-hospital mortality in these patients is quite high. Despite the fact that mechanical ventilation is the primary management tool for such patients, it is associated with major complications that increase...Read more
2018 16 Oct
Shock is an emergency, and if it is not treated, it will mostly be fatal. Early intervention and admission to the ICU is essential. Our cover story considers several aspects of shock, including pathophysiology and multi-organ dysfunction syndrome, as well as source control, fluids, differentiation using point-of-care ultrasound and vasoactive medication....Read more
2018 11 Jul
An analysis of ECMO – extracorporeal membrane oxygenation – use in patients with cardiogenic shock finds that mortality remains high despite increasing utilisation of the resource-intensive intervention in this population. Season of admission (other than Fall) and presence of specific comorbidities (respiratory and genitourinary diseases) are associated...Read more
2017 04 Jul
Extracorporeal membrane oxygenation (ECMO) can support severe derangements in gas exchange in both acute and chronic respiratory failure, with data showing potential for improving survival in patients with high rates of morbidity and mortality, according to a review paper to appear in the journal CHEST. The use of ECMO for respiratory failure in adults...Read more