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Prognostic factors associated with mortality among patients receiving venovenous extracorporeal membrane oxygenation for COVID-19: a systematic review and meta-analysis

Abstract Background Venovenous extracorporeal membrane oxygenation (ECMO) can be considered for patients with COVID-19-associated acute respiratory distress syndrome (ARDS) who continue to deteriorate despite evidence-based therapies and lung-protective ventilation. The..

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Physiotherapy for patients on extracorporeal membrane oxygenation support: How, When, and Who. An international EuroELSO survey

Abstract Background and purpose Extracorporeal membrane oxygenation (ECMO) continues to play an essential role in organ support in cardiogenic shock or acute respiratory distress syndrome and bridging to transplantation. The..

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How Israeli Doctors Treated a Patient, Whose Faith Forbids Receiving Blood Transfusion

Abstract Josiane Kabsinga Anasitsi was recently brought from Rwanda to Israel for life-saving open heart surgery in the Wolfson Medical Center in Holon. But as the hospital prepared to perform..

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Antimicrobial Exposures in Critically Ill Patients Receiving Extracorporeal Membrane Oxygenation

Abstract Rationale: Data are suggesting that altered antimicrobial concentrations are likely during extracorporeal membrane oxygenation (ECMO). Objectives: The primary aim of this analysis was to describe the pharmacokinetics of antimicrobials..

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Effect of Lower vs Higher Oxygen Saturation Targets on Survival to Hospital Discharge Among Patients Resuscitated After Out-of-Hospital Cardiac Arrest

Abstract Importance  The administration of a high fraction of oxygen following return of spontaneous circulation in out-of-hospital cardiac arrest may increase reperfusion brain injury. Objective  To determine whether targeting a lower oxygen..

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Positive approaches to safety: Learning from what we do well

Abstract Historical and current methodologies in patient safety are based on a deficit-based model, defining safety as the absence of harm. This model is aligned with the human innate negativity..

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Engaging perioperative students in online learning: Human factors

Abstract The aim of this article is to reflect on how a specific approach to teaching and learning – role-play and in particular the ‘radio play’ format – can overcome..

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Retraining an Artificial Intelligence Algorithm to Calculate Left Ventricular Ejection Fraction in Pediatrics

Abstract Objectives Identifying patients with low left ventricular ejection fraction (LVEF) and monitoring LVEF responses to treatment are important clinical goals. Can a deep-learning algorithm predict pediatric LVEF within clinically..

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ESPNIC clinical practice guidelines: intravenous maintenance fluid therapy in acute and critically ill children— a systematic review and meta-analysis

Abstract Purpose Intravenous maintenance fluid therapy (IV-MFT) prescribing in acute and critically ill children is very variable among pediatric health care professionals. In order to provide up to date IV-MFT..

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Blood shortages: Hospitals are asked to postpone some elective operations

Abstract NHS hospitals have been asked to postpone some non-urgent elective operations to protect blood stocks, after NHS Blood and Transplant issued an “amber alert” over supplies. The agency, which..

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Intraoperative neurophysiologic monitoring during aortic arch surgery

Abstract Objective: To evaluate the ability of intraoperative neurophysiologic monitoring (IONM) during aortic arch reconstruction with hypothermic circulatory arrest (HCA) to predict early (<48 hours) adverse neurologic events (ANE; stroke or..

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Cardiopulmonary bypass weaning process, encountered challenges, and the management

Abstract Weaning from cardiopulmonary bypass (CPB) requires the heart to resume its function as the driving force of blood flow, taking over from the mechanical pump in the CPB circuit...

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A SUCCESSFUL TECHNIQUE FOR LASER LEAD EXTRACTION DURING VENOARTERIAL ECMO SUPPORT

Abstract In September 2020, researchers from the University Heart and Vascular Center Hamburg, Department of Cardiovascular Surgery, and Department of Cardiology/Electrophysiology described their technique for laser lead extraction during VA-ECMO..

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Extracorporeal membrane oxygenation circuits in parallel for refractory hypoxemia in patients with COVID-19

Abstract Objectives Refractory hypoxemia can occur in patients with acute respiratory distress syndrome from COVID-19 despite support with venovenous (VV) extracorporeal membrane oxygenation (ECMO). Parallel ECMO circuits can be used..

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Hemolysis in patients with Extracorporeal Membrane Oxygenation therapy for severe Acute Respiratory Distress Syndrome - a systematic review of the…

Abstract The Acute Respiratory Distress Syndrome (ARDS) is common in patients on the Intensive Care Unit and associated with significant mortality rates. In situations of severe respiratory insufficiency and failure..

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The effect of cardiopulmonary bypass on blood thiamine concentration and its association with post-operative lactate concentration

Abstract Objective Cardiothoracic surgery is a large field in Australia, and evidence suggests post-cardiopulmonary bypass (CPB) hyperlactataemia is associated with higher morbidity and mortality. Low thiamine levels are a potentially..

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Value of Hemodynamic Monitoring in Patients With Cardiogenic Shock Undergoing Mechanical Circulatory Support

Abstract The recent widespread availability and use of mechanical circulatory support is transforming the management and outcomes of cardiogenic shock (CS). Clinical decision-making regarding the optimization of therapies for patients with..

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Extracorporeal Membrane Oxygenation Support for Interstitial Lung Disease in Idiopathic Inflammatory Myopathies: An ELSO Registry Analysis

Abstract Idiopathic inflammatory myopathies (IIM), including dermatomyositis (DM) and polymyositis (PM), have a reported mortality rate of 28.6% despite immunosuppressive therapies. IIMs are complicated by interstitial lung disease (ILD) in 41%..

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Trends and outcomes following total artificial heart as bridge to transplant from the UNOS database

Abstract Introduction Bridge to transplantation (BTT) with a SynCardia Total Artificial Heart (TAH) has been gaining momentum as a therapy for patients with biventricular heart failure. Recent transplant waitlist and..

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A practical guideline for performing a comprehensive transthoracic echocardiogram in the congenital heart disease patient: consensus recommendations from the British…

Abstract Transthoracic echocardiography is an essential tool in the diagnosis, assessment, and management of paediatric and adult populations with suspected or confirmed congenital heart disease. Congenital echocardiography is highly operator-dependent,..

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Contemporary Review of the Ross Procedure

Abstract The ideal aortic valve substitute in non-elderly adults requires a tailored approach and thoughtful consideration. The main principles remain however constant, seeking to optimize long-term survival and quality of..

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Sutureless aortic valves in isolated and combined procedures: 13 years of experience in 784 patients

Abstract Objective The aim of this study was to evaluate the outcome and experience of the Perceval sutureless valve at our institution (UZ Leuven). Methods Between 2007 and 2019, 784..

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Safety and Effectiveness of Veno-Venous Extracorporeal Membrane Oxygenation Combined with Continuous Renal Replacement Therapy

Abstract Patients receiving extracorporeal membrane oxygenation (ECMO) often suffer from acute kidney injury (AKI), requiring continuous renal replacement therapy (CRRT). In our clinical practice, we connected the inlet line of..

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Remote ex vivo lung perfusion at a centralized evaluation facility

Abstract Background: In the US, only 23% of lungs offered for transplantation are transplanted. Ex vivo lung perfusion (EVLP) allows for evaluation of additional donor lungs; its adoption has been limited..

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Risk factors for femoral-to-radial artery pressure gradient after weaning from cardiopulmonary bypass: a historical cohort study

Abstract Purpose After weaning from cardiopulmonary bypass (CPB), the radial artery pressure is frequently lower than the central pressure as reflected by femoral pressure. This discrepancy may cause improper blood..

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Machines that save lives in intensive care: why a special issue in ICM?

Abstract This special issue entitled “Machines that save lives” provides a state-of-the-art update by the most renowned world experts on extracorporeal organ support (ECOS) machines and monitoring devices used to..

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Improving safety in the operating room: Medication icon labels increase visibility and discrimination

Abstract Misreading labels, syringes, and ampoules is reported to make up a 54.4% of medication administration errors. The addition of icons to medication labels in an operating room setting could..

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Breathable Electronic Skins for Daily Physiological Signal Monitoring

Abstract With the aging of society and the increase in people’s concern for personal health, long-term physiological signal monitoring in daily life is in demand. In recent years, electronic skin..

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Nitric Oxide on Extracorporeal Life Support-Circuit Modifications for a Safe Therapy

Abstract Nitric oxide (NO) incorporation into the sweep gas of the extracorporeal life support (ECLS) circuit has been proposed as a strategy to ameliorate the insults caused by the systemic..

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Testing for coronarvirus disease 2019 before cardiac surgery—safe outcome of infected patients

Abstract Background The aim was to analyze routine preoperative testing for coronavirus disease 2019 (COVID-19) performed to avoid infected cardiac surgical patients transmitting virus during the pandemic. Methods Every patient..

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