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Risk Factors for Complete Recovery of Adults After Weaning from Veno-Venous Extracorporeal Membrane Oxygenation for Severe Acute Respiratory Failure: An Analysis from Adult Patients in The Extracorporeal Life Support Organization Registry

Complete recovery after veno-venous ECMO support is associated with the patient’s baseline condition, ECMO duration, and ECMO-related complications. Respiratory ECMO should aim to increase both the survival and the quality of life after weaning from ECMO.

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Hemodynamic Monitoring in Patients With Venoarterial Extracorporeal Membrane Oxygenation

This article provides an overview of VA-ECMO pathophysiology, and reviews current knowledge of hemodynamic monitoring assessments in patients with peripheral VA-ECMO.

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Right Watershed Cerebral Infarction Following Neck Cannulation for Veno-Arterial Extracorporeal Membrane Oxygenation in Pediatric Septic Shock: A Case Series

The risk of ipsilateral watershed injury should be considered before cervical cannulation, notably in the context of sepsis.

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Role of Extracorporeal Membrane Oxygenation In COVID-19: A Systematic Review

Our study highlights the paucity of evidence and the need for further data to consolidate the efficacy of ECMO in improving patient outcomes.

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Provision of ECPR during COVID-19: Evidence, Equity, and Ethical Dilemmas

The logistics of patient selection, expedient cannulation, healthcare worker safety, and post-resuscitation care must be weighed against the ethical considerations.

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Oxygenator Impact on Voriconazole in Extracorporeal Membrane Oxygenation Circuits

Further evaluations with multiple dose in vitro and in vivo investigations are needed before specific voriconazole dosing recommendations can be made for clinical application with extracorporeal membrane oxygenation.

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Antithrombin Use During Pediatric Cardiac Extracorporeal Membrane Oxygenation Admission: Insights from A National Database

Together, these results reinforce that antithrombin may not be indicated for all pediatric extracorporeal membrane oxygenation patients.

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Pharmacokinetics Alterations in Critically Ill Pediatric Patients on Extracorporeal Membrane Oxygenation: A Systematic Review

Systematic evaluations of pharmacokinetic alterations of drugs on ECMO that incorporate multidrug opportunistic trials, physiologically based pharmacokinetic modeling, and other methods are necessary for definitive dose recommendations.

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Extracorporeal Life Support Organization (ELSO): 2020 Pediatric Respiratory ELSO Guideline

This guideline describes prolonged extracorporeal life support (ECLS) and extracorporeal membrane oxygenation (ECMO), applicable to Pediatric respiratory failure.

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Development of the Adult ECMO Specialist Certification Examination

It is anticipated that ECMO facilities and ECMO service providers will incorporate the certification examination as part of their process improvement, safety, and quality assurance plans. 

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Extracorporeal Life Support in Hemorrhagic Conditions: A Systematic Review

The use of ECLS for temporary circulatory or respiratory support in critical patients with refractory hemorrhagic shock appears feasible considering tailored ECMO management strategies.

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Optimization of Extracorporeal Membrane Oxygenation Therapy Using Near-Infrared Spectroscopy to Assess Changes in Peripheral Circulation: A Pilot Study

NIRS for optimizing ECMO therapy may be reliable for monitoring global circulatory status.

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Connector Sensors for Permittivity-Based Thrombus Monitoring in Extracorporeal Life Support

The connector sensor is therefore envisioned as an affordable alternative to OCT for real-time permittivity-based monitoring of thrombogenesis at tube–connector interface.

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Post Cardiotomy Extra Corporeal Membrane Oxygenation: Australian Cohort Review

Identification of poor prognostic indicators in this study may help inform the development of guidelines for the most appropriate use of this support modality.

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Extracorporeal Life Support Organization Coronavirus Disease 2019 Interim Guidelines: A Consensus Document from an International Group of Interdisciplinary Extracorporeal Membrane Oxygenation Providers

These guidelines are not meant to replace sound clinical judgment or specialist consultation but rather to strengthen provision and clinical management of ECMO specifically, in the context of the COVID-19 pandemic.

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Is There a “Safe” Suction Pressure in the Venous Line of Extracorporeal Circulation System?

The gaseous cavitation in centrifugal pumps is a phenomenon that appears with decreasing inlet pump pressures.

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Risk Factors for Agitation and Hyperactive Delirium in Adult Postcardiotomy Patients with Extracorporeal Membrane Oxygenation Support: an Observational Study

Our results suggest that the prevalence of agitation and hyperactive delirium in postcardiotomy patients with extracorporeal membrane oxygenation support is high. In addition, previous stroke and severe mean arterial pressure reduction before extracorporeal membrane oxygenation initiation is predictive of agitation and hyperactive delirium.

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The Early Change in PaCO2 after Extracorporeal Membrane Oxygenation Initiation Is Associated with Neurological Complications

In patients receiving ECMO for respiratory failure, a large relative decrease in PaCO2 in the first 24 hours after ECMO initiation is independently associated with an increased incidence of neurological complications.

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Can Upper Extremity (Deltoid) Near Infrared Spectroscopy be Used to Assess Cerebral Tissue Bed Saturation on Femorally Cannulated Veno-Arterial Extracorporeal Membrane Oxygenation Patients?

The use of upper extremity (peripheral deltoid) tissue monitoring does not provide adequate correlation and should not be used as a surrogate to cerebral monitoring.

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Intracranial Hemorrhage on Extracorporeal Membrane Oxygenation: An International Survey

Considering the important management implications reported by most centers when intracranial hemorrhage is diagnosed, perhaps clinicians should consider widening their indications for early neuroimaging.

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Consider Heightened Awareness of Propofol Infusion Syndrome after Extracorporeal Membrane Oxygenation (ECMO) Decannulation

The authors describe an interesting case of propofol infusion syndrome developing in a patient who was recently decannulated from VA ECMO.

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Advanced Cardiovascular Life Support: Focus on Airway Management, Vasopressor Selection, and Rescue Therapy with Extracorporeal Membrane Oxygenation

It remains essential that the evidence and guidelines surrounding cardiac arrest in our patient populations be familiar to us all.

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Brain Injury and Neurologic Outcome in Patients Undergoing Extracorporeal Cardiopulmonary Resuscitation: A Systematic Review and Meta-Analysis

Further research on assessing predictors of extracorporeal cardiopulmonary resuscitation-associated brain injury is necessary.

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Association Between Arterial Carbon Dioxide Tension and Clinical Outcomes in Venoarterial Extracorporeal Membrane Oxygenation

Initial arterial carbon dioxide tension tension was independently associated with mortality in this cohort of venoarterial extracorporeal membrane oxygenation patients.