Some Remarks on Preliminary Effectiveness of Vein to Vein Extracorporeal Membrane Oxygenation in Management of Serious Acute Respiratory Distress Syndrome at Bach Mai Hospital
Keywords:
ECMO, ARDS, managememt of patients with severe ARDSAbstract
Purpose: Until now ARDS (Acute Respiratory Distress Syndrome) mortality rate remained as high at 40 to 60%. If applicable ECMO for cases that do not meet ventilation achieving, survival rates was improved from 50 to 70%. We evaluate the technical efficiency ECMO venous-venous (ECMO V-V) in the treatment of patients with severe ARDS.
Materials and Methods: Fifteen patients with ARDS without chronic disease, serious bleeding supported with ECMO venous - venous with ECA PaO2 / FiO2 <80, at the Intensive Care Unit Bach Mai Hospital enrolled.
Results: The mean age 45.7 ± 15.7 years (youngest 18, oldest 70), male / female = 8/7. APACHE II and SOFA Score: 16.2 ± 5.0 and 7.7 ± 3.4. ARDS may cause 4/15 (26.6%), bacterial, 2 cases of TB, viral 2/15, 11/15 (73.3%) do not see the root microorganisms. Ratio PaO2 / FiO2 before ECMO 58.4 ± 12.8 (37-78), while 10.2 ± 6.1 ECMO support (4-28 days). ECMO successful withdrawal rate 11/15 (73.3%), the survival rate 10/15 (66.7%), deaths 5/10 (33.3%). Some complications: bleeding catheter site 5/15 (33.3%) and wound infections 3/15 (20%) are the most common. 10.2 ± 6.1 time day ECMO.
Conclusions: ECMO V - V initially showed to be effective in treating severe ARDS. More research needs to be grounded on application as well.
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