Application and outcomes of extracorporeal life support in emergency general surgery and trauma
| Autor: | David M. Underhill, Jielin Yu, Constantine M. Poulos, Anthony Tran, Jason Gluck, Jonathan D. Gates, M. Irfan Ali, Jennifer M. Brewer |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty Critical Care 030204 cardiovascular system & hematology Extracorporeal 03 medical and health sciences Extracorporeal Membrane Oxygenation 0302 clinical medicine Humans Medicine Radiology Nuclear Medicine and imaging Acute care surgery Retrospective Studies Advanced and Specialized Nursing business.industry Trauma center 030208 emergency & critical care medicine General Medicine Patient Discharge Advanced trauma life support Survival Rate Patient population Treatment Outcome surgical procedures operative Shock (circulatory) Life support Emergency medicine medicine.symptom Cardiology and Cardiovascular Medicine business Safety Research |
| Zdroj: | Perfusion. 37:575-581 |
| ISSN: | 1477-111X 0267-6591 |
| Popis: | Background: We analyzed the use of Extracorporeal Membranous Oxygenation (ECMO) in acute care surgery patients at our Level-1 trauma center. We hypothesized that this patient population has improved ECMO outcomes. Methods: This was a retrospective analysis of emergency general surgery and trauma patients placed on ECMO between the periods of October 2013 and February 2020. There were 10 surgical and 12 trauma patients studied, who eventually required ECMO support. ECMO support and ECMO type/modality were analyzed with injury and survival prognostic scores examined. Main results: Overall, 16 of the 22 patients survived to hospital discharge, for a survival rate of 73%. Mean age was 34.18 years. Mean hospital length of stay was 23.4 days with mean days on ECMO equal to 7.5. The net negative fluid balance was 5.36 L. Conclusions: The survival of our ECMO cohort is notably higher than previously cited studies. Our group demonstrated decreased length of time on ECMO, decreased length of stay in the hospital, and similar rates of complications compared to prior reports. ECMO is a useful modality in acute care surgical patients and should be considered in these patient populations. Our focus on net negative fluid balance for ECMO patients demonstrates improved survival. ECMO should be considered early in surgical patients and early in advanced trauma life support. |
| Databáze: | OpenAIRE |
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