Management strategies in venovenous extracorporeal membrane oxygenation: a retrospective comparison from five European centres

M V Malfertheiner, L M Broman, M Belliato, A Venti, A Bader, F S Taccone, M Di Nardo, G Maj, F Pappalardo

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: To investigate contemporary clinical practice in the management of venovenous (VV) extracorporeal membrane oxygenation (ECMO) in critically ill patients with bacterial pneumonia.

METHODS: In this multicentre retrospective study, 48 patients with severe respiratory failure due to bacterial pneumonia receiving VV ECMO therapy in five experienced European ECMO centres were included. Ventilator and ECMO settings were analysed.

RESULTS: Ventilator settings showed great variability between participating centres, particularly relating to positive end-expiratory pressure, peak inspiratory pressure and driving pressure. Different strategies in cannulation, ECMO setting and weaning procedures were also observed.

CONCLUSION: There is great diversity in management modalities for ventilator and ECMO settings for patients with bacterial pneumonia. Our study emphasises the lack of clinical consensus in VV ECMO management.

Original languageEnglish
Pages (from-to)76-81
Number of pages6
JournalCritical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine.
Volume19
Issue numberSuppl 1
Publication statusPublished - Oct 2017

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Extracorporeal Membrane Oxygenation
Bacterial Pneumonia
Mechanical Ventilators
Pressure
Positive-Pressure Respiration
Practice Management
Weaning
Critical Illness
Catheterization
Respiratory Insufficiency
Multicenter Studies
Retrospective Studies

Cite this

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title = "Management strategies in venovenous extracorporeal membrane oxygenation: a retrospective comparison from five European centres",
abstract = "OBJECTIVE: To investigate contemporary clinical practice in the management of venovenous (VV) extracorporeal membrane oxygenation (ECMO) in critically ill patients with bacterial pneumonia.METHODS: In this multicentre retrospective study, 48 patients with severe respiratory failure due to bacterial pneumonia receiving VV ECMO therapy in five experienced European ECMO centres were included. Ventilator and ECMO settings were analysed.RESULTS: Ventilator settings showed great variability between participating centres, particularly relating to positive end-expiratory pressure, peak inspiratory pressure and driving pressure. Different strategies in cannulation, ECMO setting and weaning procedures were also observed.CONCLUSION: There is great diversity in management modalities for ventilator and ECMO settings for patients with bacterial pneumonia. Our study emphasises the lack of clinical consensus in VV ECMO management.",
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T1 - Management strategies in venovenous extracorporeal membrane oxygenation

T2 - a retrospective comparison from five European centres

AU - Malfertheiner, M V

AU - Broman, L M

AU - Belliato, M

AU - Venti, A

AU - Bader, A

AU - Taccone, F S

AU - Di Nardo, M

AU - Maj, G

AU - Pappalardo, F

PY - 2017/10

Y1 - 2017/10

N2 - OBJECTIVE: To investigate contemporary clinical practice in the management of venovenous (VV) extracorporeal membrane oxygenation (ECMO) in critically ill patients with bacterial pneumonia.METHODS: In this multicentre retrospective study, 48 patients with severe respiratory failure due to bacterial pneumonia receiving VV ECMO therapy in five experienced European ECMO centres were included. Ventilator and ECMO settings were analysed.RESULTS: Ventilator settings showed great variability between participating centres, particularly relating to positive end-expiratory pressure, peak inspiratory pressure and driving pressure. Different strategies in cannulation, ECMO setting and weaning procedures were also observed.CONCLUSION: There is great diversity in management modalities for ventilator and ECMO settings for patients with bacterial pneumonia. Our study emphasises the lack of clinical consensus in VV ECMO management.

AB - OBJECTIVE: To investigate contemporary clinical practice in the management of venovenous (VV) extracorporeal membrane oxygenation (ECMO) in critically ill patients with bacterial pneumonia.METHODS: In this multicentre retrospective study, 48 patients with severe respiratory failure due to bacterial pneumonia receiving VV ECMO therapy in five experienced European ECMO centres were included. Ventilator and ECMO settings were analysed.RESULTS: Ventilator settings showed great variability between participating centres, particularly relating to positive end-expiratory pressure, peak inspiratory pressure and driving pressure. Different strategies in cannulation, ECMO setting and weaning procedures were also observed.CONCLUSION: There is great diversity in management modalities for ventilator and ECMO settings for patients with bacterial pneumonia. Our study emphasises the lack of clinical consensus in VV ECMO management.

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VL - 19

SP - 76

EP - 81

JO - Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine.

JF - Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine.

SN - 1441-2772

IS - Suppl 1

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