The authors, using 2 groups of patients, 32 ECMO and 53 non-ECMO, both with a diagnosis of ARDS, describe the two groups' severity of illness, medication regimen and use or nonuse of ECMO therapy.
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Mechanical Circulatory Assistance
Severe Thrombocytopenia in Adults with Severe Acute Respiratory Distress Syndrome: Impact of Extracorporeal Membrane Oxygenation Use.
July 24, 2016
July 5, 2016
With the rapid expansion of mechanical circulatory support (MCS) in various contexts (CVICU, in-hospital cardiac arrest (E-CPR) and the ED), the authors have provided a very nice overview of the general principles of MCS options and management to assist the broader healthcare team involved with these complex patients.
June 14, 2016
This video demonstrates the authors’ laparoscopic technique for repair of a diaphragmatic hernia after a heart transplant.
May 5, 2016
The author summarizes the challenges but tremendous potential of mechanical circulatory support for infants and children undergoing heart surgery.
March 18, 2016
As the Authors have stated: "maximal medical therapy can no longer be seen as a justifiable end‐point for refractory circulatory shock, at least in well‐resourced health settings." To frame their discussion on mechnical circulatory support (MCS) in the current era, they have provided a case vignette for options potentially available to the patient wi
February 19, 2016
Three protocols for LVAD resuscitation in different situations.
Clinical Characteristics and Outcomes of Patients With Myocardial Infarction and Cardiogenic Shock Undergoing Coronary Artery Bypass Surgery: Data From The Society of Thoracic Surgeons National Database
January 30, 2016
Outcomes of CABG for patients in cardiogenic shock after acute MI were evaluated using data from the STS Database. The study group of nearly 5,500 patients comprised 1.5% of all CABG patients during the study period. Operative mortality was 18.7%. Mechanical circulatory support use was most common in patients with more risk factors or high clinica
January 6, 2016
Michael Acker of the University of Pennsylvania Health System, Philadelphia, gives an in-depth talk on the current state of temporary mechanical circulatory support practices in the United States.
Acoustic Characterization of Axial Flow Left Ventricular Assist Device Operation In Vitro and In Vivo.
November 5, 2015
The investigators report a novel technology to predict VAD thrombosis. This approach records and measures acustic signature characteristics. Using annalysis of spectral tracings the investigators suggest their exists an acoustic patern associated with thrombosis.
Surgical approach to continuous-flow left ventricular assist device explantation: A comparison of outcomes
August 14, 2015
The Texas Heart Institute reports its experience with 27 patients with prior continuous flow LVADs who had undergone varying degrees of device explantation. Although the numbers are small, the explantation methods ranged from near-complete device removal to driveline transection and removal.