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Disseminated intravascular coagulation is associated with a poor outcome in patients with out-of-hospital cardiac arrest receiving VA-ECMO.
J Artif Organs
January 2025
Department of Anesthesiology and Critical Care Medicine, Hokkaido University Faculty of Medicine, Sapporo, Japan.
Article Synopsis
- The study tested if disseminated intravascular coagulation (DIC) is linked to worse outcomes in patients who had out-of-hospital cardiac arrest (OHCA) and received veno-arterial extracorporeal membrane oxygenation (VA-ECMO) treatment.
- 57 patients were divided into two groups: those with DIC (30 patients) and those without (27 patients) and mortality rates were compared.
- Results showed that patients with DIC had significantly higher in-hospital mortality, and DIC scores measured after 24 hours proved to be a moderate predictor of death in these patients.
Pre-hospital ECPR cost analysis and cost effectiveness modelling study.
Resuscitation
January 2025
Faculty of Medicine and Health, University of Sydney Sydney Australia; Royal Prince Alfred Hospital Sydney Australia. Electronic address:
Background: The use of extracorporeal membrane oxygenation (ECMO) during cardiopulmonary resuscitation (ECPR) is increasing. Prehospital ECPR (PH-ECPR) for out-of-hospital cardiac arrest (OHCA) may improve both equity of access and outcomes but its cost effectiveness has yet to be determined.
Methods: Cost analyses of PH-ECPR was performed utilizing current PH-ECPR trial, NSW Ambulance Cardiac Arrest Registry (CAR), geospatial modelling and in-hospital costings data.
Early Albumin Administration in Veno-Arterial Extracorporeal Membrane Oxygenation.
Artif Organs
December 2024
Department of Cardiology and Angiology, Heart Center Freiburg University, Faculty of Medicine, University of Freiburg, Freiburg im Breisgau, Germany.
Background: The clinical outcome and fluid balance of patients with veno-arterial extracorporeal membrane oxygenation (VA ECMO) or after extracorporeal cardiopulmonary resuscitation (eCPR) may be improved by addressing the high fluid demand with an early albumin administration.
Methods: In this prospective observational study, patients supported with VA ECMO or eCPR received early albumin administration (25 g/L) to prime the VA ECMO system. These patients were compared to patients who received a regimen based solely on balanced crystalloids (crystalloid group) or a regimen based on a 1:4 volume mixture of albumin (10 g/L) and balanced crystalloids (albumin group).
Solid organ transplantation originating from uncontrolled donation after circulatory death in Europe: a narrative review.
Scand J Trauma Resusc Emerg Med
December 2024
Emergency Department, Cliniques Universitaires Saint-Luc, Emergency Medicine, Department of Public Health and Primary Care, Faculty of Medicine, Catholic University Leuven, Brussels, Belgium.
Human organ transplantation has begun in the 1960s with donation after circulatory death. At that time this was named non heart beating donation, later donation after cardiac death and nowadays it is named donation after circulatory death. Currently, we are facing a significant shortage of transplant organs in Europe and worldwide.
View Article and Find Full Text PDFTotal reversal of the pulmonary circulation (RPC) induced by peripheral cannulation for veno-arterial ECMO in a patient with aortic and mitral valve insufficiency: a case report.
J Artif Organs
December 2024
Internal Medicine Intensive Care, Klinikum Stuttgart, Kriegsbergstrasse 60, 70174, Stuttgart, Germany.
Article Synopsis
- - The case report discusses a rare occurrence of total reversal of pulmonary circulation (RPC) in a 56-year-old man who was on veno-arterial extracorporeal membrane oxygenation (V-A ECMO) during emergency cardiopulmonary resuscitation after a heart attack and cardiac arrest.
- - The patient's previously undiagnosed aortic and mitral valve leaks, combined with the effects of V-A ECMO, led to severe pulmonary edema, a condition where fluid accumulates in the lungs.
- - By modifying the ECMO setup to veno-pulmonary arterial-arterial (VPa-A) ECMO and cannulating the pulmonary artery, medical staff were able to relieve the pulmonary edema, but this
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