Early Driving Pressure Changes Predict Outcomes during Venovenous Extracorporeal Membrane Oxygenation for Acute Respiratory Distress Syndrome
المؤلفون المشاركون
Magunia, Harry
Haeberle, Helene A.
Henn, Philipp
Mehrländer, Martin
Vlatten, Peer O.
Mirakaj, Valbona
Rosenberger, Peter
Koeppen, Michael
المصدر
Critical Care Research and Practice
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-9، 9ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-03-09
دولة النشر
مصر
عدد الصفحات
9
التخصصات الرئيسية
الملخص EN
Background.
Extracorporeal membrane oxygenation (ECMO) serves as a rescue therapy when systemic hypoxia persists despite conventional care for severe acute respiratory distress syndrome (ARDS).
Due to the extracorporeal gas exchange, the paO2/FiO2 ratio cannot be used as the primary marker for disease severity and progression.
Therefore, we performed a propensity score-matched analysis to identify other potential predictors of outcomes in patients supported by ECMO therapy.
Results.
Between December 2014 and May 2018, 105 patients underwent venovenous ECMO in our institution.
From these patients, we identified 28 who died during ECMO therapy and assigned 28 control patients using propensity score matching based on the following criteria: age, ARDS severity, and SAPSII score at admission.
A statistical evaluation of the patient characteristics, intensive care data, morbidities, respiratory system variables, and outcomes was performed.
The baseline patient characteristics did not differ between groups and ECMO was placed on day 1 in all patients.
The analyzed variables of respiratory mechanics, such as the plateau pressure, positive end-expiratory pressure, and tidal volume, did not differ between groups.
The driving pressure before ECMO was equal between the nonsurvivors and the controls.
Twelve hours after initiation of ECMO therapy, the driving pressure decreased by 40.8% in the survivors but by only 20.1% in the nonsurvivors.
Conclusions.
We report that very early driving pressure changes can serve as an indicator of disease severity and predict patient survival following ECMO therapy.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Magunia, Harry& Haeberle, Helene A.& Henn, Philipp& Mehrländer, Martin& Vlatten, Peer O.& Mirakaj, Valbona…[et al.]. 2020. Early Driving Pressure Changes Predict Outcomes during Venovenous Extracorporeal Membrane Oxygenation for Acute Respiratory Distress Syndrome. Critical Care Research and Practice،Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1138538
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Magunia, Harry…[et al.]. Early Driving Pressure Changes Predict Outcomes during Venovenous Extracorporeal Membrane Oxygenation for Acute Respiratory Distress Syndrome. Critical Care Research and Practice No. 2020 (2020), pp.1-9.
https://search.emarefa.net/detail/BIM-1138538
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Magunia, Harry& Haeberle, Helene A.& Henn, Philipp& Mehrländer, Martin& Vlatten, Peer O.& Mirakaj, Valbona…[et al.]. Early Driving Pressure Changes Predict Outcomes during Venovenous Extracorporeal Membrane Oxygenation for Acute Respiratory Distress Syndrome. Critical Care Research and Practice. 2020. Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1138538
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1138538
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر