About: Extracorporeal life support for management of refractory cardiac or respiratory failure: initial experience in a tertiary centre

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About: Extracorporeal life support for management of refractory cardiac or respiratory failure: initial experience in a tertiary centre Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Extracorporeal life support for management of refractory cardiac or respiratory failure: initial experience in a tertiary centre
Creator	Cianchi, Giovanni Peris, Adriano Gensini, Gian Biondi, Simona Bonizzoli, Manuela Ciapetti, Marco Lazzeri, Chiara Bernardo, Pasquale Bonacchi, Massimo Pasquini, Andrea Sani, Guido Zagli, Giovanni Bacci, Simona Mascitelli, Erminia
Source	PMC
abstract	INTRODUCTION: Extracorporeal Life Support (ECLS) and extracorporeal membrane oxygenation (ECMO) have been indicated as treatment for acute respiratory and/or cardiac failure. Here we describe our first year experience of in-hospital ECLS activity, the operative algorithm and the protocol for centralization of adult patients from district hospitals. METHODS: At a tertiary referral trauma center (Careggi Teaching Hospital, Florence, Italy), an ECLS program was developed from 2008 by the Emergency Department and Heart and Vessel Department ICUs. The ECLS team consists of an intensivist, a cardiac surgeon, a cardiologist and a perfusionist, all trained in ECLS technique. ECMO support was applied in case of severe acute respiratory distress syndrome (ARDS) not responsive to conventional treatments. The use of veno-arterial (V-A) ECLS for cardiac support was reserved for cases of cardiac shock refractory to standard treatment and cardiac arrests not responding to conventional resuscitation. RESULTS: A total of 21 patients were treated with ECLS during the first year of activity. Among them, 13 received ECMO for ARDS (5 H1N1-virus related), with a 62% survival. In one case of post-traumatic ARDS, V-A ECLS support permitted multiple organ donation after cerebral death was confirmed. Patients treated with V-A ECLS due to cardiogenic shock (N = 4) had a survival rate of 50%. No patients on V-A ECLS support after cardiac arrest survived (N = 4). CONCLUSIONS: In our centre, an ECLS Service was instituted over a relatively limited period of time. A strict collaboration between different specialists can be regarded as a key feature to efficiently implement the process.
has issue date	2010-05-21(xsd:dateTime)
bibo:doi	10.1186/1757-7241-18-28
bibo:pmid	20487571
has license	cc-by
sha1sum (hex)	973c821bf749ccc67a2d9020f637438b90fa5152
schema:url	https://doi.org/10.1186/1757-7241-18-28
resource representing a document's title	Extracorporeal life support for management of refractory cardiac or respiratory failure: initial experience in a tertiary centre
has PubMed Central identifier	PMC2879235
has PubMed identifier	20487571
schema:publication	Scand J Trauma Resusc Emerg Med
resource representing a document's body	covid:973c821bf749ccc67a2d9020f637438b90fa5152#body_text
is schema:about of	named entity 'PATIENTS' named entity 'PROTOCOL' named entity 'CARDIAC FAILURE' named entity 'CENTRE' named entity 'REFRACTORY' named entity 'EXPERIENCE' named entity 'ICU' named entity 'aortic dissection' named entity 'Teaching Hospital' named entity 'catheters' named entity 'heparin' named entity 'ECMO' named entity 'ECLS' named entity 'ECLS' named entity 'hypoxia' named entity 'ECMO' named entity 'acute respiratory distress syndrome' named entity 'CT scan' named entity 'cardiac surgeon' named entity 'ECLS' named entity 'extracorporeal life support' named entity 'ECLS' named entity 'intensivist' named entity 'cardiac surgeon' named entity 'Advanced Life Support' named entity 'survival rate' named entity 'ventilator-induced lung injury' named entity 'prosthetic' named entity 'extracorporeal' named entity 'cannulae' named entity 'malignancy' named entity 'ECLS' named entity 'oxygenator' named entity 'Emergency Department' named entity 'hemofiltration' named entity 'respiratory failure' named entity 'ECMO' named entity 'Extracorporeal Membrane Oxygenation' named entity 'intensivist' named entity 'ECLS' named entity 'coagulation' named entity '58 minutes' named entity 'ECLS' named entity 'critically ill patients' named entity 'H1N1' named entity 'ARDS' named entity 'Extracorporeal' named entity 'extracorporeal' named entity 'cardiac failure' named entity 'extracorporeal membrane oxygenation' named entity 'Extracorporeal life support' named entity 'cerebral death' named entity 'Respiratory Failure' named entity 'litres per minute' named entity 'open-heart surgical' named entity 'refractory' named entity 'survival rate' named entity 'ECLS' named entity 'femoral artery' named entity 'advanced cardiac life support' named entity 'ECLS' named entity 'intensivist' named entity 'lesion' named entity 'ECLS' named entity 'ECLS' named entity 'ECMO' named entity 'ECMO' named entity 'femoral artery'

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