Management of vascular access for extracorporeal life support: A cohort study

Article Engineering, Biomedical

Quantification of Recirculation During Veno-Venous Extracorporeal Membrane Oxygenation: In Vitro Evaluation of a Thermodilution Technique

Francesco Cipulli et al.

Summary: This study measured the recirculation fraction (RF) using a thermodilution technique in VV-ECMO and proved the technical feasibility and computation validity of this method.

ASAIO JOURNAL (2022)

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Article Engineering, Biomedical

Extracorporeal Membrane Oxygenation for COVID-19: Updated 2021 Guidelines from the Extracorporeal Life Support Organization

Jenelle Badulak et al.

Summary: The guideline emphasizes the importance of ECMO treatment for COVID-19 patients, recommending the use of V-V ECMO for ARDS. More stringent contraindications should be implemented when resources are limited, and establishing regional ECMO referral networks can help expedite patient referrals.

ASAIO JOURNAL (2021)

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Article Engineering, Biomedical

Management of Adult Patients Supported with Venovenous Extracorporeal Membrane Oxygenation (VV ECMO): Guideline from the Extracorporeal Life Support Organization (ELSO)

Joseph E. Tonna et al.

Summary: The use of venovenous extracorporeal membrane oxygenation (VV ECMO) in adults is increasing worldwide. This updated ELSO guideline aims to provide practical guidance to clinicians on patient selection, initiation, cannulation, management, and weaning of VV ECMO for adult respiratory failure.

ASAIO JOURNAL (2021)

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Article Critical Care Medicine

Tissue adhesives for bacterial inhibition in extracorporeal membrane oxygenation cannulae

India Pearse et al.

Summary: This study assessed the antimicrobial properties of two n-butyl-2-octyl cyanoacrylate tissue adhesive formulations for bacterial inhibition at peripheral ECMO cannulae insertion sites. Both formulations were effective barriers to bacterial migration and demonstrated distinct zones of inhibition against Staphylococcus epidermidis. This suggests a potential bedside strategy for infection prevention in ECMO cannulae, pending further clinical testing.

INTENSIVE CARE MEDICINE EXPERIMENTAL (2021)

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Article Respiratory System

Prone Positioning during Venovenous Extracorporeal Membrane Oxygenation in Acute Respiratory Distress Syndrome A Multicenter Cohort Study and Propensity-matched Analysis

Marco Giani et al.

Summary: The study demonstrated that prone positioning during ECMO can improve oxygenation, reduce intrapulmonary shunt, and is associated with lower hospital mortality. Even after adjusting for covariates, prone positioning still significantly reduced hospital mortality.

ANNALS OF THE AMERICAN THORACIC SOCIETY (2021)

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Review Critical Care Medicine