Feasibility of veno-arterial extracorporeal life support in awake patients with cardiogenic shock.

ABSTRACT:

Objectives

This study sought to demonstrate outcomes of veno-arterial extracorporeal life support (VA-ECLS) in non-intubated ('awake') patients with cardiogenic shock, as very few studies have investigated safety and feasibility in this population.

Methods

This was a retrospective review of 394 consecutive VA-ECLS patients at our institution from 2017 to 2021. We excluded patients cannulated for indications definitively associated with intubation. Patients were stratified by intubation status at time of cannulation and baseline differences were balanced by inverse probability of treatment weighting. The primary outcome was in-hospital mortality while secondary outcomes included adverse events during ECLS and destination at discharge.

Results

Out of 135 patients in the

SUBMITTER: Feng I 

PROVIDER: S-EPMC11344587 | biostudies-literature | 2024 Aug

REPOSITORIES: biostudies-literature