Chou et al. analyzed a nationwide ECMO register regarding patients with liver cirrhosis. They identified 233 patients, which represents 3.3% of all 7003 patients. These patients had a very high one-year mortality of more than 95%. Therefore, the authors conclude that ECMO should be used very carefully in patients with known liver cirrhosis.
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Outcome of Extracorporeal Membrane Oxygenation Support in Patients With Liver Cirrhosis: A Nationwide Population-Based Cohort Study
September 18, 2020
August 11, 2020
This is a video illustrating a case of minimally invasive mitral valve replacement in the setting of profound shock with VA-ECMO and impella CP support for ruptured papillary muscle after acute myocardial infarction.
Reoperative Arch and Root Surgery Using DHCA With Antegrade Cerebral and Intermittent Upper and Lower Body Retrograde Perfusion
July 30, 2020
Complex reoperative arch and root surgery can be safely performed using moderate hypothermic circulatory arrest with selective antegrade cerebral perfusion along with intermittent upper and lower body retrograde perfusion.
Microplegia Versus Cardioplexol® in Coronary Artery Bypass Surgery With Minimal Extracorporeal Circulation: Comparison of Two Cardioplegia Concepts
April 10, 2020
In this small series of propensity score matched patients, two methods of administering cardioplegia, each using a different agent, were assessed for outcomes of isolated CABG. A repeated infusion with Basel Microplegia was superior to a single shot of Cardioplexol® for troponin release, creatinine kinase, and ICU stay.
April 1, 2020
Useful series from the Pacific North West, main questions: -Why four patients who had a do-not-resuscitate order on admission were included in the dead and, ultimately, why been admitted in an ITU/ICU setting? -How come no sputum samples from nine fatalities were ever sent for bacterial culture in an ITU/ICU setting?
March 24, 2020
A succinct comment with a wealth of up-to-date references vis-a-vis the SARS-CoV-2 pandemic.
March 18, 2020
The authors describe a thoughtful process for resource utilization in the setting of competing needs that optimizes survival for a popultion. Examples of existing guidelines are provided.
January 17, 2020
In this How-I-Teach-It tutorial, Dr Hermsen and associates from the the University of Wisconsin in Madison provide a step-by-step introduction to how they instituted their introductory CPB training course.
January 7, 2020
The authors present a patient with cardiomyopathy peripartum that led to low output syndrome, where it was supported with ECMO-LVAD system, having partially recovered the heart.
December 4, 2019
Succinct commentary on the challenge of vascular access in ECMO circuits on the occasion of a manuscript on a novel design of a multi-access adaptor.