Bibliographic Details
| Title: |
Parallel oxygenators in the same circuit for refractory hypoxemia on veno-venous extracorporeal membrane oxygenation. A 3-patient series. |
| Authors: |
Hurtado, Sebastian, Sepulveda, Veronica, Godoy, Cesar, Bahamondes, Rodrigo, Kattan, Eduardo, Mendez, Magdalena, Besa, Santiago |
| Source: |
Perfusion; Nov2024, Vol. 39 Issue 8, p1715-1721, 7p |
| Subject Terms: |
ADULT respiratory distress syndrome treatment, EXTRACORPOREAL membrane oxygenation, PULMONARY gas exchange, OXYGENATORS, SEVERITY of illness index, CARDIAC output, HYPOXEMIA, COVID-19, CRITICAL care medicine |
| Abstract: |
Extracorporeal membrane oxygenator (ECMO) is a well-established therapy for respiratory failure. Refractory hypoxemia, despite the use of ECMO, remains a challenging problem. The ECMO circuit may not provide enough oxygenation support in the presence of high cardiac output, increased physiologic demand, and impaired gas exchange. Adding a second ECMO oxygenator using the same pump (sometimes needing a second drainage cannula) can improve oxygenation and facilitate lung-protective ventilation in selected patients. We describe a 3-patient series with severe ARDS secondary to SARS-CoV-2 infection and refractory hypoxemia during ECMO support successfully treated with this approach. [ABSTRACT FROM AUTHOR] |
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| Database: |
Complementary Index |
