Search results for "ECMO"

showing 8 items of 8 documents

Establishing a New ECMO Referral Center Using an ICU-Based Approach: A Feasibility and Safety Study

2022

Background: A high-volume center with a multidisciplinary team is regarded as the optimal place for providing extracorporeal membrane oxygenation (ECMO). We hypothesize that an ECMO center can also be successfully created and subsequently developed entirely by intensivists in a mid-size mixed intensive care unit (ICU). Methods: A model was created for setting up a new ECMO referral center within the structure of an existing mixed ICU in a tertiary hospital. A retrospective analysis was carried out of the first 33 patients treated in the initial period of the center’s activity, from mid 2018 to the end of 2020. Results: An ECMO center was established and developed entirely based on the resou…

surgical procedures operativeHealth Information ManagementLeadership and ManagementHealth PolicyHealth Informaticscritical care; healthcare; intensive care unit; extracorporeal membrane oxygenation; ECMOHealthcare; Volume 10; Issue 3; Pages: 414
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Endoscopy at Bedside in Isolated Patients with Severe COVID-19: Our Approach during the Pandemic

2021

The COVID-19 pandemic changed the management of emergency medicine and those complications that needed interventional procedures, such as endoscopy or other radiological procedures. At the beginning of the outbreak, there were no exploitable recommendations regarding the proper policy to apply for limiting the virus spread during endoscopy. Between the first and the second wave, the approach regarding interventional procedures changed, due to higher awareness and newly defined protocols, even if different among the health centers. Patients with severe COVID-19 may develop major gastrointestinal complications or require nutritional support, so interventional procedures are required at bedsid…

TechnologyCoronavirus disease 2019 (COVID-19)QH301-705.5QC1-999gas exchangesGastrointestinal complicationsPandemicMedicineGeneral Materials ScienceinfectionsendoscopyBiology (General)QD1-999InstrumentationFluid Flow and Transfer Processeseducation in ECMOmedicine.diagnostic_testbusiness.industryECMO transportationTPhysicsProcess Chemistry and TechnologyGeneral EngineeringLimitingEngineering (General). Civil engineering (General)medicine.diseaseComputer Science ApplicationsEndoscopyChemistryRadiological weaponMedical emergencyTA1-2040businesspatient selectionApplied Sciences
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Do ventilatory parameters influence outcome in patients with severe acute respiratory infection? Secondary analysis of an international, multicentre1…

2021

Purpose: To investigate the possible association between ventilatory settings on the first day of invasive mechanical ventilation (IMV) and mortality in patients admitted to the intensive care unit (ICU) with severe acute respiratory infection (SARI). Materials and methods: In this pre-planned sub-study of a prospective, multicentre observational study, 441 patients with SARI who received controlled IMV during the ICU stay were included in the analysis. Results: ICU and hospital mortality rates were 23.1 and 28.1%, respectively. In multivariable analysis, tidal volume and respiratory rate on the first day of IMV were not associated with an increased risk of death; however, higher driving pr…

ARDSSoins intensifs réanimationmedicine.medical_treatmentAirway pressuresPEEP positive end-expiratory pressureCritical Care and Intensive Care Medicinelaw.inventionHypoxemiaCohort StudiesPositive-Pressure RespirationMechanical ventilationSARI severe acute respiratory infectionlawHospital MortalityProspective StudiesIQR interquartile rangesProspective cohort studyRCT randomized controlled trialTidal volumeSOFA Sequential Organ Failure AssessmentSAPS Simplified Acute Physiology ScoreIntensive care unitVCV volume-controlled ventilationHIV human immunodeficiency virusIntensive Care UnitsIC GLOSSARI Intensive Care Global Study on Severe Acute Respiratory Infectionmedicine.symptomCohort studyLOS length of staymedicine.medical_specialtyVt tidal volumeCOPD Chronic obstructive pulmonary diseaseNYHA New York Heart Association.PCV pressure-controlled ventilationArticleInternal medicineICU Intensive Care UnitSIMV Synchronized intermittent mandatory ventilationmedicineTidal VolumeHumansDP driving pressurePEEPARDS acute respiratory distress syndromeMechanical ventilationbusiness.industryOdds ratioPneumoniaPlateau pressuremedicine.diseaseRespiration ArtificialVILI ventilator induced lung injuryCI confidence intervalOR odds ratioIMV invasive mechanical ventilationCPAP continuous positive airway pressureARDSbusinessSD standard deviationECMO extracorporeal membrane oxygenationPBW predicted body weightPplat plateau pressure
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Traditional Chinese herbal medicine at the forefront battle against COVID-19: Clinical experience and scientific basis.

2020

Abstract Background Throughout the 5000-year history of China, more than 300 epidemics were recorded. Traditional Chinese herbal medicine (TCM) has been used effectively to combat each of these epidemics’ infections, and saved many lives. To date, there are hundreds of herbal TCM formulae developed for the purpose of prevention and treatment during epidemic infections. When COVID-19 ravaged the Wuhan district in China in early January 2020, without a deep understanding about the nature of COVID-19, patients admitted to the TCM Hospital in Wuhan were immediately treated with TCM and reported later with >90% efficacy. Approach We conducted conduct a systematic survey of various TCM herbal pre…

PTGS2 Prostaglandin-endoperoxide synthase 2BattleAIV avian influenza virusCoV coronavirusPharmaceutical ScienceiNOS nitric oxide synthaseViral infection0302 clinical medicinePA patchouli alcoholSARS Severe Acute Respiratory SyndromeSMD Sheganmahuang decoctionDrug DiscoveryPandemicIL InterleukinMedicine Chinese TraditionalALI acute lung injuriesmedia_commonCOVID-19 coronavirus disease 2019MXSG Ma xing shi gan decoction0303 health sciencesTNF tumor necrosis factorClinical Trials as TopicCCL2 CC chemokine ligand 2FM1 FM1 coronavirusICU intensive care unitc-AMP cyclic adenosine phosphateHIV human immunodeficiency virus030220 oncology & carcinogenesisCOX-2 cyclooxygenase-2Molecular MedicineHerbal preparationsMedicinal herbsAbbreviations: ACE2 angiotensin-converting enzyme IITCM traditional Chinese medicineHSV-1 herpes simplex virus 1CASP3 caspase 3medicine.medical_specialtyChinaCoronavirus disease 2019 (COVID-19)Systematic surveymedia_common.quotation_subjectJEV Japanese encephalitis virusNF-κB nuclear factor kappa B cellsAntiviral AgentsArticleWHO World Health Organization03 medical and health sciencesIEC-6 rat intestinal epithelial cell line 6SOD superoxide dismutaseCDC Center for Disease Control and PreventionmedicineAVP arginine vasopressinPGE2 prostaglandin E2HumansIntensive care medicineLH Lianhuaqingwen capsule030304 developmental biologyPharmacologyMedicinal herbMDA malondialdehydeGCGJ Gancao ganjiang decoctionNO nitric oxidePlants Medicinalbusiness.industrySARS-CoV-2COVID-19CXCL C-X-C- motif chemokineMDCK Madin-Darby Canine Kidney cellsTLR-4 Toll-like receptor-4COVID-19 Drug TreatmentComplementary and alternative medicineViral infectionLPS lipopolysaccharidesRSV respiratory syncytial virusQFPD Qingfeipaidu decoctionbusinessLung congestionECMO extracorporeal membrane oxygenationMAPK mitogen-activated protein kinasePhytotherapyDrugs Chinese HerbalPhytomedicine : international journal of phytotherapy and phytopharmacology
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Infectious complications associated with short-term mechanical circulatory support in urgent heart transplant candidates

2021

[Abstract] Introduction and objectives. Short-term mechanical circulatory support is frequently used as a bridge to heart transplant in Spain. The epidemiology and prognostic impact of infectious complications in these patients are unknown. Methods. Systematic description of the epidemiology of infectious complications and analysis of their prognostic impact in a multicenter, retrospective registry of patients treated with short-term mechanical devices as a bridge to urgent heart transplant from 2010 to 2015 in 16 Spanish hospitals. Results. We studied 249 patients, of which 87 (34.9%) had a total of 102 infections. The most frequent site was the respiratory tract (n = 47; 46.1%). Microbiol…

medicine.medical_specialtyTrasplante cardiacomedicine.medical_treatmentEnfermedad cardiovascular030204 cardiovascular system & hematologyAsistencia circulatoria mecánica Asistencia ventricular Critical care Cuidados críticos ECMO Heart transplant Infección Infection Mechanical circulatory support Trasplante cardiaco Ventricular assist deviceWaiting period03 medical and health sciences0302 clinical medicineMechanical circulatory supportAsistencia circulatoria mecánicaInternal medicineEpidemiologymedicineHumansInfecciónTrasplante de corazónCuidados críticosRetrospective StudiesHeart Failurebusiness.industryGeneral MedicineAparato respiratorioTrasplante de órganosCritical caremedicine.anatomical_structureTreatment OutcomeSpainVentricular assist deviceCirculatory systemAsistencia ventricularVentricular assist deviceHeart TransplantationHeart transplantHeart-Assist DevicesECMObusinessInfectionMechanical devicesRespiratory tract
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Puente a trasplante cardiaco con oxigenación de membrana extracorpórea

2012

PUENTE A TRASPLANTE CARDIACO CON OXIGENACIÓN DE MEMBRANA EXTRACORPÓREA Objetivos: Los nuevos sistemas de Oxigenación de Membrana Extracorpórea (ECMO) han presentado un desarrollo tecnológico notable, fundamentalmente debido a la incorporación de oxigenadores y bombas centrífugas de larga duración, lo cual ha conducido a una importante mejoría en la supervivencia de los pacientes en shock cardiogénico refractario tratados con este tipo de asistencia mecánica circulatoria de corta duración. La implantación de este dispositivo por vía periférica de forma sencilla, rápida y poco agresiva en estos pacientes en shock cardiogénico con signos incipientes de fracaso multiorgánico puede mejorar su su…

bridge to transplantationUNESCO::CIENCIAS MÉDICASecmopuente a trasplante:CIENCIAS MÉDICAS [UNESCO]heart transplantationtrasplante cardiaco
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Combined endoscopical treatments for tracheo‐esophageal fistula developed during V‐V ECMO for severe COVID‐19: A case series

2021

Covid‐19medicine.medical_specialty2019-20 coronavirus outbreakCoronavirus disease 2019 (COVID-19)medicine.diagnostic_testbusiness.industrySevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)Biomedical EngineeringMedicine (miscellaneous)BioengineeringGeneral Medicinetracheo‐esophageal fistulaSurgeryEndoscopyBiomaterialsSARS‐CoV 2Tracheo-esophageal fistulamedicineCase SeriesECMOendoscopybusinessArtificial Organs
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Acute respiratory distress syndrome in traumatic brain injury: how do we manage it?

2017

Abstract: Traumatic brain injury (TBI) is an important cause of morbidity and mortality worldwide. TBI patients frequently suffer from lung complications and acute respiratory distress syndrome (ARDS), which is associated with poor clinical outcomes. Moreover, the association between TBI and ARDS in trauma patients is well recognized. Mechanical ventilation of patients with a concomitance of acute brain injury and lung injury can present significant challenges. Frequently, guidelines recommending management strategies for patients with traumatic brain injuries come into conflict with what is now considered best ventilator practice. In this review, we will explore the strategies of the best …

Pulmonary and Respiratory Medicinemedicine.medical_specialtyARDSTraumatic brain injurymedicine.medical_treatmentReview ArticleLung injury03 medical and health sciencesAcute respiratory distress syndrome (ARDS); Extra corporeal membrane oxygenation (ECMO); Positive end expiratory pressure (PEEP); Traumatic brain injury (TBI); Pulmonary and Respiratory Medicine0302 clinical medicineTraumatic brain injury (TBI); acute respiratory distress syndrome (ARDS); extra corporeal membrane oxygenation (ECMO); positive end expiratory pressure (PEEP)medicineExtracorporeal membrane oxygenationTraumatic brain injury (TBI)Intensive care medicinePositive end-expiratory pressureMechanical ventilationpositive end expiratory pressure (PEEP)Lungbusiness.industryextra corporeal membrane oxygenation (ECMO)acute respiratory distress syndrome (ARDS)030208 emergency & critical care medicinemedicine.diseaseProne positionmedicine.anatomical_structurebusiness030217 neurology & neurosurgeryJournal of thoracic disease
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