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Post-cardiotomy extracorporeal life support: A cohort of cannulation in the general ward
G. Bari, S. Mariani, BCT. van Bussel, J. Ravaux, M. Di Mauro, A. Schaefer, J. Khalil, M. Pozzi, L. Botta, D. Pacini, U. Boeken, R. Samalavicius, K. Bounader, X. Hou, JJH. Bunge, H. Buscher, L. Salazar, B. Meyns, M. Mazeffi, S. Matteucci, S....
Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články, pozorovací studie, multicentrická studie
PubMed
39007409
DOI
10.1111/aor.14818
Knihovny.cz E-zdroje
- MeSH
- dospělí MeSH
- kardiochirurgické výkony škodlivé účinky MeSH
- kardiogenní šok * terapie etiologie mortalita MeSH
- katetrizace * škodlivé účinky metody MeSH
- lidé středního věku MeSH
- lidé MeSH
- mimotělní membránová oxygenace * škodlivé účinky metody MeSH
- mortalita v nemocnicích MeSH
- pooperační komplikace etiologie epidemiologie MeSH
- retrospektivní studie MeSH
- senioři MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
- pozorovací studie MeSH
OBJECTIVES: Post-cardiotomy extracorporeal life support (ECLS) cannulation might occur in a general post-operative ward due to emergent conditions. Its characteristics have been poorly reported and investigated This study investigates the characteristics and outcomes of adult patients receiving ECLS cannulation in a general post-operative cardiac ward. METHODS: The Post-cardiotomy Extracorporeal Life Support (PELS) is a retrospective (2000-2020), multicenter (34 centers), observational study including adult patients who required ECLS for post-cardiotomy shock. This PELS sub-analysis analyzed patients ́ characteristics, in-hospital outcomes, and long-term survival in patients cannulated for veno-arterial ECLS in the general ward, and further compared in-hospital survivors and non-survivors. RESULTS: The PELS study included 2058 patients of whom 39 (1.9%) were cannulated in the general ward. Most patients underwent isolated coronary bypass grafting (CABG, n = 15, 38.5%) or isolated non-CABG operations (n = 20, 51.3%). The main indications to initiate ECLS included cardiac arrest (n = 17, 44.7%) and cardiogenic shock (n = 14, 35.9%). ECLS cannulation occurred after a median time of 4 (2-7) days post-operatively. Most patients' courses were complicated by acute kidney injury (n = 23, 59%), arrhythmias (n = 19, 48.7%), and postoperative bleeding (n = 20, 51.3%). In-hospital mortality was 84.6% (n = 33) with persistent heart failure (n = 11, 28.2%) as the most common cause of death. No peculiar differences were observed between in-hospital survivors and nonsurvivors. CONCLUSIONS: This study demonstrates that ECLS cannulation due to post-cardiotomy emergent adverse events in the general ward is rare, mainly occurring in preoperative low-risk patients and after a postoperative cardiac arrest. High complication rates and low in-hospital survival require further investigations to identify patients at risk for such a complication, optimize resources, enhance intervention, and improve outcomes.
Adult Intensive Care Service The Prince Charles Hospital Brisbane Queensland Australia
Cardiac Surgery Unit IRCCS Humanitas Research Hospital Rozzano Italy
Cardiac Thoracic and Vascular Department Niguarda Hospital Milan Italy
Cardiothoracic Intensive Care Unit National University Hospital Singapore Singapore
Clinic of Internal Medicine Department of Cardiac Surgery University of Szeged Szeged Hungary
Department of Cardiac Surgery Heinrich Heine University Duesseldorf Germany
Department of Cardiac Surgery Leipzig Heart Center Leipzig Germany
Department of Cardiac Surgery Louis Pradel Cardiologic Hospital Lyon France
Department of Cardiac Surgery Ospedale del Cuore Fondazione Toscana G Monasterio Massa Italy
Department of Cardiac Surgery University Hospitals Leuven Leuven Belgium
Department of Cardio Thoracic Surgery University Hospital Henri Mondor Créteil France
Department of Cardiology Fundación Cardiovascular de Colombia Bucaramanga Colombia
Department of Cardiothoracic Surgery University Medical Center Regensburg Regensburg Germany
Department of Cardiovascular Surgery Ziekenhuis Oost Limburg Genk Belgium
Department of Medicine and Surgery Cardiac Surgery Clinic San Gerardo Hospital Monza Italy
Department of Medicine and Surgery University of Parma Parma Italy
Department of Thoracic and Cardiovascular Surgery Korea University Anam Hospital Seoul South Korea
Departments of Medicine and Surgery University of Maryland Baltimore Maryland USA
Division of Cardiac Surgery Cardiothoracic Department University Hospital of Udine Udine Italy
Division of Cardiac Surgery IRCCS Azienda Ospedaliero Universitaria di Bologna Bologna Italy
Division of Cardiac Surgery Johns Hopkins Hospital Baltimore Maryland USA
Division of Cardiac Surgery Medical University of Vienna Vienna Austria
Division of Cardiac Surgery Memorial Healthcare System Hollywood Florida USA
Division of Cardiothoracic and Vascular Surgery Pontchaillou University Hospital Rennes France
ECLS Unit Departamento de Anestesia Clínica Las Condes Santiago Chile
Intensive Care Unit The Alfred Hospital Melbourne Victoria Australia
SOD Cardiochirurgia Ospedali Riuniti 'Umberto 1 Lancisi Salesi' Ancona Italy
Citace poskytuje Crossref.org
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