Venovenous extracorporeal membrane oxygenation experience in a community level I trauma center.

Autor:	Neubauer S; Department of General Surgery, 22987Mercy St. Elizabeth Hospital, Youngstown, OH, USA., DelloStritto DJ; Department of General Surgery, 22987Mercy St. Elizabeth Hospital, Youngstown, OH, USA., Capal N; Department of General Surgery, 22987Mercy St. Elizabeth Hospital, Youngstown, OH, USA., Hotrum A; Department of General Surgery, 22987Mercy St. Elizabeth Hospital, Youngstown, OH, USA., Henn L; Department of Cardiothoracic Surgery, 22987Mercy St. Elizabeth Hospital, Youngstown, OH, USA., Marchand T; Department of Trauma Surgery, 22987Mercy St. Elizabeth Hospital, Youngstown, OH, USA.
Jazyk:	angličtina
Zdroj:	Perfusion [Perfusion] 2023 Apr; Vol. 38 (3), pp. 484-490. Date of Electronic Publication: 2022 Mar 02.
DOI:	10.1177/02676591211059743
Abstrakt:	Background: There is limited literature of venovenous extracorporeal membrane oxygenation use in a community, non-university, setting in the trauma population. Methods: We reviewed our cases over 2 years from March 2018 to March 2020. This study was conducted in a community hospital with a General Surgery residency with no direct affiliation to a medical school. Primary outcome reviewed was survival to discharge. Secondary outcomes included duration of extracorporeal membranous oxygenation (ECMO) support, blood transfusion requirement, complications, and disposition. Results: Five patients were cannulated during this time period. All patients survived to discharge. Mean time on ECMO was 153.4 h or 6.4 days (range 60-216 h). All patients required a transfusion while cannulated, with a mean of 10 units PRBC transfused (range 3-24). One patient required CPR, one required cessation of heparin drip for bleeding, and one had clinical signs of a stroke. Three patients were discharged to long-term acute care facilities and the other two to acute rehab. Conclusions: Community level I trauma centers are capable of handling trauma patients requiring ECMO. It does require a multi-disciplinary team of surgical intensivists and cardiothoracic surgeons along with the support of nursing, respiratory therapists, and perfusionists. The outcomes in this limited series show that ECMO can be a tool utilized in the community setting.
Databáze:	MEDLINE
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