Severe hypoxemia during veno-venous extracorporeal membrane oxygenation: Exploring the limits of extracorporeal respiratory support

Clinics

Volumn 69, Issue 3, 2014, Pages 173-178

  Nunes, Liane Brescovici ^a   Mendes, Pedro Vitale ^a,b   Hirota, Adriana Sayuri ^a   Barbosa, Edzangela Vasconcelos ^a   Maciel, Alexandre Toledo ^a,b   Schettino, Guilherme Pinto Paula ^b   Costa, Eduardo Leite Vieira ^a,b   Azevedo, Luciano Cesar Pontes ^a,b   Park, Marcelo ^a,b  

^a UNIVERSITY OF SÃO PAULO   (Brazil)

^b HOSPITAL SÍRIO LIBANÊS   (Brazil)

Author keywords

Extracorporeal membrane oxygenation; Hypoxemia; Respiratory failure; Respiratory insufficiency

Indexed keywords

OXYGEN;

ADOLESCENT; ADULT; ANOXIA; ARTICLE; BLOOD; BLOOD FLOW VELOCITY; EXTRACORPOREAL OXYGENATION; FEMALE; HEART OUTPUT; HUMAN; LUNG INJURY; MALE; MEMBRANE OXYGENATOR; METHODOLOGY; OXYGEN CONSUMPTION; PATHOPHYSIOLOGY; PHYSIOLOGY; REPRODUCIBILITY; RESPIRATORY FAILURE; TIME; TREATMENT OUTCOME;

ADOLESCENT; ADULT; ANOXIA; BLOOD FLOW VELOCITY; CARDIAC OUTPUT; EXTRACORPOREAL MEMBRANE OXYGENATION; FEMALE; HUMANS; LUNG INJURY; MALE; OXYGEN; OXYGEN CONSUMPTION; OXYGENATORS, MEMBRANE; REPRODUCIBILITY OF RESULTS; RESPIRATORY INSUFFICIENCY; TIME FACTORS; TREATMENT OUTCOME;

EID: 84897821013     PISSN: 18075932     EISSN: None     Source Type: Journal    
DOI: 10.6061/clinics/2014(03)05     Document Type: Article

References (23)

1. Park M, Azevedo LC, Mendes PV, Carvalho CR, Amato MB, Schettino GP, et al. First-year experience of a Brazilian tertiary medical center in supporting severely ill patients using extracorporeal membrane oxygenation. Clinics. 2012;67(10):1157-63, http://dx.doi.org/10.6061/clinics/2012(10)07.
2. Peek GJ, Mugford M, Tiruvoipati R, Wilson A, Allen E, Thalanany MM, et al. Efficacy and economic assessment of conventional ventilatory support versus extracorporeal membrane oxygenation for severe adult respiratory failure (CESAR): a multicentre randomised controlled trial. Lancet. 2009;374(9698):1351-63, http://dx.doi.org/10.1016/S0140-6736(09)61069-2.
3. Davies A, Jones D, Bailey M, Beca J, Bellomo R, Blackwell N, et al. Extracorporeal Membrane Oxygenation for 2009 Influenza A(H1N1) Acute Respiratory Distress Syndrome. JAMA. 2009;302(17):1888-95.
4. Brogan TV, Thiagarajan RR, Rycus PT, Bartlett RH, Bratton SL. Extracorporeal membrane oxygenation in adults with severe respiratory failure: a multi-center database. Intensive Care Med. 2009;35(12):2105-14, http://dx.doi.org/10.1007/s00134-009-1661-7.
5. Pham T, Combes A, Rozé H, Chevret S, Mercat A, Roch A, et al. Extracorporeal membrane oxygenation for pandemic influenza a(h1n1) induced acute respiratory distress syndrome. a cohort study and propensity-matched analysis. Am J Respir Crit Care Med. 2013; 187(3):276-85, http://dx.doi.org/10.1164/rccm.201205-0815OC.
6. Guarracino F, Zangrillo A, Ruggeri L, Pieri M, Calabrò MG, Landoni G, et al. b-Blockers to optimize peripheral oxygenation during extracorporeal membrane oxygenation: a case series. J Cardiothorac Vasc Anesth. 2012;26(1):58-63, http://dx.doi.org/10.1053/j.jvca.2011.05.013.
7. Linden V, Palmer K, Reinhard J, Westman R, Ehren H, Granholm T, et al. High survival in adult patients with acute respiratory distress syndrome treated by extracorporeal membrane oxygenation, minimal sedation, and pressure supported ventilation. Intensive Care Med. 2000;26(11):1630-7.
8. Combes A, Bacchetta M, Brodie D, Muller T, Pellegrino V. Extracorporeal membrane oxygenation for respiratory failure in adults. CurrOpinCrit Care. 2012;18(1):99-104.
9. Messaï E, Bouguerra A, Harmelin G, Di Lascio G, Cianchi G, Bonacchi M. A new formula for determining arterial oxygen saturation during venovenous extracorporeal oxygenation. Intensive Care Med. 2013; 39(2):327-34, http://dx.doi.org/10.1007/s00134-012-2756-0.
10. Park M, Costa EL, Maciel AT, Silva DP, Friedrich N, Barbosa EV, et al. Determinants of oxygen and carbon dioxide transfer during extracorporeal membrane oxygenation in an experimental model of multiple organ dysfunction syndrome. PLoS One. 2013;8(1):e54954, http://dx.doi.org/10.1371/journal.pone.0054954.
11. Williams EM, Viale JP, Hamilton RM, McPeak H, Sutton L, Hahn CE. Within-breath arterial PO2 oscillations in an experimental model of acute respiratory distress syndrome. Br J Anaesth. 2000;85(3):456-9.
12. Schmidt M, Tachon G, Devilliers C, Muller G, Hekimian G, Bréchot N, et al. Blood oxygenation and decarboxylation determinants during venovenous ECMO for respiratory failure in adults. Intensive Care Med. 2013;39(5):838-46, http://dx.doi.org/10.1007/s00134-012-2785-8.
13. Guyton AC. Determination of cardiac output by equating venous return curves with cardiac response curves. Physiol Rev. 1955;35(1):123-9.
14. Smith G, Cheney FW, Winter PM. The effect of change in cardiac output on intrapulmonary shunting. Br J Anaesth. 1974;46(5):337-42.
15. Dantzker DR, Lynch JP, Weg JG. Depression of cardiac output is a mechanism of shunt reduction in the therapy of acute respiratory failure. Chest. 1980;77(5):636-42, http://dx.doi.org/10.1378/chest.77.5.636.
16. Bryan TL, van Diepen S, Bhutani M, Shanks M, Welsh RC, Stickland MK. The effects of dobutamine and dopamine on intrapulmonary shunt and gas exchange in healthy humans. J Appl Physiol. 2012;113(4):541-8, http://dx.doi.org/10.1152/japplphysiol.00404.2012.
17. Zampieri FG, Park M, Azevedo LC, Amato MB, Costa EL. Effects of arterial oxygen tension and cardiac output on venous saturation: a mathematical modeling approach. Clinics. 2012;67(8):897-900, http://dx.doi.org/10.6061/clinics/2012(08)07.
18. Dantzker DR, Brook CJ, DeHart P, Lynch JP, Weg JG. Ventilationperfusion distributions in the adult respiratory distress syndrome. Am Rev Respir Dis. 1979;120(5):1039-52.
19. Rossaint R, Hahn SM, Pappert D, Falke KJ, Radermacher P. Influence of mixed venous PO2 and inspired O2 fraction on intrapulmonary shunt in patients with severe ARDS. J Appl Physiol. 1995;78(4):1531-6.
20. Sidebotham D, McGeorge A, McGuinness S, Edwards M, Willcox T, Beca J. Extracorporeal membrane oxygenation for treating severe cardiac and respiratory failure in adults: part 2-technical considerations. J Cardiothorac Vasc Anesth. 2010;24(1):164-72, http://dx.doi.org/10.1053/j.jvca.2009.08.002.
21. Mikkelsen ME, Christie JD, Lanken PN, Biester RC, Thompson BT, Bellamy SL, et al. The adult respiratory distress syndrome cognitive outcomes study: long-term neuropsychological function in survivors of acute lung injury. Am J Respir Crit Care Med. 2012;185(12):1307-15.
22. Lindén VB, Lidegran MK, Frisén G, Dahlgren P, Frenckner BP, Larsen F. ECMO in ARDS: a long-term follow-up study regarding pulmonary morphology and function and health-related quality of life. Acta Anaesthesiol Scand. 2009;53(4):489-95, http://dx.doi.org/10.1111/j.1399-6576.2008.01808.x.
23. Mendes PV, Moura E, Barbosa EV, Hirota AS, Scordamaglio PR, Ajjar FM, et al. Challenges in patients supported with extracorporeal membrane oxygenation in Brazil. Clinics. 2012;67(12):1511-5, http://dx.doi.org/10.6061/clinics/2012(12)27.