Outcomes of patients with acute respiratory failure on veno-venous extracorporeal membrane oxygenation requiring additional circulatory support by veno-venoarterial extracorporeal membrane oxygenation.

ABSTRACT:

Objective

Veno-venous (V-V) extracorporeal membrane oxygenation (ECMO) is increasingly used to support patients with severe acute respiratory distress syndrome (ARDS). In case of additional cardio-circulatory failure, some experienced centers upgrade the V-V ECMO with an additional arterial return cannula (termed V-VA ECMO). Here we analyzed short- and long-term outcome together with potential predictors of mortality.

Design

Multicenter, retrospective analysis between January 2008 and September 2021.

Setting

Three tertiary care ECMO centers in Germany (Hannover, Bonn) and Switzerland (Zurich).

Patients

Seventy-three V-V ECMO patients with ARDS and additional acute cardio-circulatory deterioration required an upgrade to V-VA ECMO were included in this study.

SUBMITTER: Erlebach R 

PROVIDER: S-EPMC9539450 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature