Predictors of weaning failure in case of VA ECMO implantation

Bibliographic Details
Title:	Predictors of weaning failure in case of VA ECMO implantation
Authors:	Axelle Cusanno, Nadia Aissaoui, Vincent Minville, Jean Porterie, Caroline Biendel, Kim Volle, Laure Crognier, Jean-Marie Conil, Clément Delmas
Source:	Scientific Reports, Vol 12, Iss 1, Pp 1-11 (2022)
Publisher Information:	Nature Portfolio, 2022.
Publication Year:	2022
Collection:	LCC:Medicine LCC:Science
Subject Terms:	Medicine, Science
More Details:	Abstract The use of veno-arterial extracorporeal membrane oxygenation (VA ECMO) for the treatment of refractory cardiogenic shock has increased significantly. Nevertheless, early weaning may be advisable to reduce the potential for severe complications. Only a few studies focusing on ECMO weaning predictors are currently available. Our objective was to evaluate factors that may help predict failure during VA ECMO weaning. We included 57 patients on VA ECMO support previously considered suitable for weaning based on specific criteria. Clinical, haemato-chemical and echocardiographic assessment was considered before and after a “weaning test” (ECMO flow 7 days (OR 24 [2–269]) were predictors of weaning failure. The VA ECMO weaning test failed in less than 40% of patients considered suitable for weaning. Clinical and echocardiographic criteria, which are easily accessible by a non-expert intensivist, may help increase the probability of successful weaning.
Document Type:	article
File Description:	electronic resource
Language:	English
ISSN:	2045-2322
Relation:	https://doaj.org/toc/2045-2322
DOI:	10.1038/s41598-022-18105-y
Access URL:	https://doaj.org/article/3ffcc2a8e49544ee84685d7315966765
Accession Number:	edsdoj.3ffcc2a8e49544ee84685d7315966765
Database:	Directory of Open Access Journals
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More Details
ISSN:	20452322
DOI:	10.1038/s41598-022-18105-y
Published in:	Scientific Reports
Language:	English