MARC details
000 -LEADER |
fixed length control field |
02676nas a22002537a 4500 |
003 - CONTROL NUMBER IDENTIFIER |
control field |
OSt |
005 - DATE AND TIME OF LATEST TRANSACTION |
control field |
20210426152158.0 |
006 - FIXED-LENGTH DATA ELEMENTS--ADDITIONAL MATERIAL CHARACTERISTICS |
fixed length control field |
m|||||r|||| 00| 0 |
007 - PHYSICAL DESCRIPTION FIXED FIELD--GENERAL INFORMATION |
fixed length control field |
ta |
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
fixed length control field |
171219t2020 sp ||||| |||| 00| 0 spa | |
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
International Standard Serial Number |
2110-5820 |
040 ## - CATALOGING SOURCE |
Transcribing agency |
Salus Infirmorum |
245 00 - TITLE STATEMENT |
Title |
Clinical outcomes according to cannula confgurations in patients with acute respiratory distress syndrome under veno-venous extracorporeal membrane oxygenation: a Korean multicenter study / |
Statement of responsibility, etc. |
Sung Yoon Lim, Soyeon Ahn, Sang‑Bum Hong, Chi Ryang Chung, Kyeongman Jeon, Sang‑Min Lee, Woo Hyun Cho, Sunghoon Park and Young‑Jae Cho |
500 ## - GENERAL NOTE |
General note |
PDF en biblioteca |
504 ## - BIBLIOGRAPHY, ETC. NOTE |
Bibliography, etc. note |
Bibliografía: p.10 |
520 8# - SUMMARY, ETC. |
Summary, etc. |
Background: Recirculation during veno-venous extracorporeal membrane oxygenation (VV-ECMO) is a known drawback that limits sufcient oxygenation. This study aimed to compare the short-term oxygenation and long-term mortality based on cannula confguration in patients with acute respiratory distress syndrome (ARDS) who receive VV-ECMO, especially in the absence of newly developed dual-lumen, single cannula.<br/>Methods: Data of patients with severe ARDS who received VV-ECMO from 2012 to 2015 at six hospitals were retro‑spectively analyzed. Primary outcomes were the partial pressure of oxygen (PaO2) at 1, 4, and 12 h after ECMO initia‑tion and 180-day mortality.<br/>Results: Patients (n=335) were divided into two groups based on the return cannula site: femoral vein (n=178) or internal jugular vein (n=157). The propensity score matching analysis generated 90 pairs, and baseline characteristics at admission, including PaO2, were similar between the groups. PaO2 at 1, 4 and 12 h after ECMO initiation were not diferent according to cannula confguration. Moreover, the increment in oxygenation from the baseline values was not diferent between the femoral and jugular group. PaCO2 level at 1, 4 and 12 h were signifcantly lower in the jugu‑lar group. The two groups did not difer in terms of mortality at 180 days after ECMO, however more cannula-related complications occurred in the jugular group.<br/>Conclusion: Regardless of the cannula confguration, patients with ARDS managed with VV-ECMO showed com‑parable clinical outcomes in terms of short-term oxygenation and long-term mortality. Nevertheless, further welldesigned randomized control trials are warranted. |
653 14 - INDEX TERM--UNCONTROLLED |
Uncontrolled term |
Acute respiratory distress syndrome |
653 14 - INDEX TERM--UNCONTROLLED |
Uncontrolled term |
PaO2 |
653 14 - INDEX TERM--UNCONTROLLED |
Uncontrolled term |
Recirculation |
653 14 - INDEX TERM--UNCONTROLLED |
Uncontrolled term |
Veno-venous extracorporeal membrane oxygenation |
653 14 - INDEX TERM--UNCONTROLLED |
Uncontrolled term |
Complications |
773 ## - HOST ITEM ENTRY |
Related parts |
-- 2020, v. 10, 1, p. 1-10 |
Title |
Annals of Intensive Care |
942 ## - ADDED ENTRY ELEMENTS (KOHA) |
Source of classification or shelving scheme |
Universal Decimal Classification |
Koha item type |
Artículo de revista |