Non-intensive care unit feasibility for ambulatory veno-venous extracorporeal membrane oxygenation patients

医学 体外膜肺氧合 回廊的 套管 重症监护室 肺移植 回顾性队列研究 氧合器 队列 鼻插管 急诊医学 重症监护医学 移植 麻醉 外科 体外循环 内科学
作者
Aakash Shah,Stephen Stachnik,Joshua L. Leibowitz,Leena Ramadan,Jason Ejimogu,Shreya Singireddy,Warren Naselsky,Alison Grazioli,Joseph Rabin,Zhongjun J. Wu,Bartley P. Griffith
出处
期刊:Perfusion [SAGE]
标识
DOI:10.1177/02676591241302959
摘要

Introduction Veno-venous extracorporeal membrane oxygenation has increasingly been utilized to support patients in respiratory failure as a bridge to recovery or lung transplantation. As patients progress from cannulation to recovery or transplantation, it has been shown that physical therapy and ambulation are possible and beneficial for patient outcomes. Methods We sought to evaluate the feasibility of managing these ambulatory VV-ECMO patients in a non-ICU setting by conducting a single-center, retrospective cohort study to characterize the daily data collection (i.e., CXRs, blood draws, etc.) and ICU and ECMO interventions and events (i.e., oxygenator/cannula exchange, sweep or flow adjustments, etc.). Results A total of 28 ECMO runs from patients ≥18 years of age who ambulated ≥100 feet while on VV ECMO between 2014 and 2020 were included for analysis. Patients were supported on ECMO a median of 33 [18-79.5] days with a mean of 4.0 (3.8,4.1) data collections per day. There was a mean of 1.1 (1.0,1.2) anticoagulation changes, 1.5 (1.4,1.6) ECMO interventions, and 0.40 (0.34,0.46) ICU interventions per day. There were very few instances of cannula repositioning or oxygenator exchanges - 0.05 (CI 0.04, 0.06) per day. Conclusion Our data suggests that ambulatory VV-ECMO patients may tolerate less than ICU level of care and may even progress to outpatient management as ECMO technology continues to advance.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
能干耳机完成签到,获得积分10
刚刚
领导范儿应助牛肉怪采纳,获得10
1秒前
栗子发布了新的文献求助10
2秒前
2秒前
贝贝发布了新的文献求助10
3秒前
5秒前
ceeray23应助哈哈采纳,获得10
6秒前
7秒前
Yifan2024应助qdy采纳,获得30
7秒前
8秒前
田様应助randi采纳,获得10
9秒前
llll发布了新的文献求助10
10秒前
FGG完成签到,获得积分10
10秒前
涵de暴躁小地雷完成签到 ,获得积分10
11秒前
12秒前
ponny2001完成签到,获得积分10
12秒前
上官若男应助跳跃富采纳,获得10
14秒前
14秒前
JYZ完成签到,获得积分20
16秒前
辰曜完成签到 ,获得积分10
16秒前
东郭代桃发布了新的文献求助10
16秒前
16秒前
沉静胜发布了新的文献求助30
17秒前
快乐科研发布了新的文献求助10
17秒前
18秒前
怕黑以筠发布了新的文献求助10
18秒前
20秒前
奋斗寒松发布了新的文献求助10
20秒前
越过山丘完成签到,获得积分10
21秒前
23秒前
mount发布了新的文献求助10
23秒前
23秒前
25秒前
25秒前
FGG完成签到,获得积分10
26秒前
洁净的从彤完成签到,获得积分20
26秒前
上官若男应助独特乘云采纳,获得10
26秒前
小杨发布了新的文献求助10
27秒前
Estella完成签到,获得积分10
27秒前
28秒前
高分求助中
Production Logging: Theoretical and Interpretive Elements 2500
Востребованный временем 2500
Aspects of Babylonian celestial divination : the lunar eclipse tablets of enuma anu enlil 1500
Agaricales of New Zealand 1: Pluteaceae - Entolomataceae 1040
Healthcare Finance: Modern Financial Analysis for Accelerating Biomedical Innovation 1000
Classics in Total Synthesis IV: New Targets, Strategies, Methods 1000
Devlopment of GaN Resonant Cavity LEDs 666
热门求助领域 (近24小时)
化学 医学 材料科学 生物 工程类 有机化学 生物化学 纳米技术 内科学 物理 化学工程 计算机科学 复合材料 基因 遗传学 物理化学 催化作用 细胞生物学 免疫学 电极
热门帖子
关注 科研通微信公众号,转发送积分 3454924
求助须知:如何正确求助?哪些是违规求助? 3050185
关于积分的说明 9020562
捐赠科研通 2738826
什么是DOI,文献DOI怎么找? 1502304
科研通“疑难数据库(出版商)”最低求助积分说明 694480
邀请新用户注册赠送积分活动 693178