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- W4313267239 abstract "Introduction: The adaptation of extracorporeal membrane oxygenation (ECMO) support for refractory hypoxic respiratory failure secondary to trauma has increased over the last several years but continues to be hampered by a paucity of qualifying criteria and outcomes in publication. Our goal was to review the use of ECMO in trauma patients at our center to augment data available to the community and stimulate interest in a multicenter, prospective study. Methods: Our Level 1 ACS trauma center’s ELSO database was reviewed from January 2017 to April 2022. All patients suffering traumatic injuries who were canulated for ECMO were included; patient demographics, indications, physiology, and outcomes were collected. No patients were excluded from the analysis. Descriptive statistics and basic linear regression were performed. Results: Twelve trauma patients received ECMO support over the study period. Mean age was 34.25 years (range 13.8-64.0) with (8/12, 66.7%) of male gender. Respiratory failure was the primary reason for cannulation (10/12, 83.3%), but cardiac support (1/12, 8.3%) and ECPR (1/12, 8.3%) were also performed. The primary mode of ECMO was veno-venous (VV) support (9/12, 75%) but veno-arterial (VA) support was also used (3/12, 25%). Excluding the ECPR cannulation, the mean time from admission to cannulation was 171.3 (SD 140.3) hours. Median oxygenation parameters (IQR) prior to cannulation, including PaO2, FiO2, PaO2/FiO2 (P/F) ratio and PEEP, were 68 (47.9-100), 1.00 (0.88-1.00), 68.3 (47.9-125) and 17.5 (11-20), respectively. ECMO support was used for a median of 171 (IQR 67.66-262.3) hours. Overall mortality was 58.3% (7/12) but was improved for VV (4/9, 44.4%) and worse for VA (3/3, 100%) ECMO. For VV support, a trend towards improved survival was noted for earlier cannulation with a mean time from admission to cannulation of 183 hours in survivors vs 198.8 hours in deaths. Conclusions: Consensus for ECMO use in patients suffering traumatic injuries is lacking, and published data is highly variable. We offer our institution’s results with this patient cohort to augment existing data as well as stimulate interest in a potential multicenter study to better delineate indications and outcomes for VV ECMO in traumatically injured patients." @default.
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- W4313267239 date "2022-12-15" @default.
- W4313267239 modified "2023-09-23" @default.
- W4313267239 title "1309: EXTRACORPOREAL MEMBRANE OXYGENATION FOR TRAUMA PATIENTS: A SINGLE-CENTER 5-YEAR RETROSPECTIVE REVIEW" @default.
- W4313267239 doi "https://doi.org/10.1097/01.ccm.0000910972.81609.48" @default.
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