Efficacy of Veno-Venous Extracorporeal Membrane Oxygenation in Severe Acute Respiratory Failure
Yonsei med. j
; Yonsei med. j;: 212-219, 2015.
Article
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| WPRIM
| ID: wpr-174631
Biblioteca responsable:
WPRO
ABSTRACT
PURPOSE: The objective of this study was to evaluate our institutional experience with veno-venous (VV) extracorporeal membrane oxygenation (ECMO) in patients with severe acute respiratory failure (ARF). MATERIALS AND METHODS: From January 2007 to August 2013, 31 patients with severe ARF that was due to various causes and refractory to mechanical ventilation with conventional therapy were supported with VV ECMO. A partial pressure of arterial oxygen (PaO2)/inspired fraction of oxygen (FiO2) <100 mm Hg at an FiO2 of 1.0 or a pH <7.25 due to CO2 retention were set as criteria for VV ECMO. RESULTS: Overall, 68% of patients survived among those who had received VV ECMO with a mean PaO2/FiO2 of 56.8 mm Hg. Furthermore, in trauma patients, early use of ECMO had the best outcome with a 94% survival rate. CONCLUSION: VV ECMO is an excellent, life-saving treatment option in patients suffering from acute and life-threatening respiratory failure due to various causes, especially trauma, and early use of VV ECMO therapy improved outcomes in these patients.
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Texto completo:
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Base de datos:
WPRIM
Asunto principal:
Insuficiencia Respiratoria
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Oxigenación por Membrana Extracorpórea
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Análisis de Supervivencia
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Enfermedad Aguda
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Causas de Muerte
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Resultado del Tratamiento
Límite:
Adult
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Female
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Humans
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Male
Idioma:
En
Revista:
Yonsei med. j
Año:
2015
Tipo del documento:
Article