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Predictors of survival in adults undergoing extracorporeal membrane oxygenation with severe infections  Aristine Cheng, MD, Hsin-Yun Sun, MD, Mao-Song.

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Presentation on theme: "Predictors of survival in adults undergoing extracorporeal membrane oxygenation with severe infections  Aristine Cheng, MD, Hsin-Yun Sun, MD, Mao-Song."— Presentation transcript:

1 Predictors of survival in adults undergoing extracorporeal membrane oxygenation with severe infections  Aristine Cheng, MD, Hsin-Yun Sun, MD, Mao-Song Tsai, MD, Wen-Je Ko, MD, Pi-Ru Tsai, BSc, Fu-Chang Hu, ScD, Yee-Chun Chen, MD, PhD, Shan-Chwen Chang, MD, PhD  The Journal of Thoracic and Cardiovascular Surgery  Volume 152, Issue 6, Pages e1 (December 2016) DOI: /j.jtcvs Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

2 Figure 1 Flow diagram of patient selection. ECMO, Extracorporeal membrane oxygenation; NTUH, National Taiwan University Hospital. The Journal of Thoracic and Cardiovascular Surgery  , e1DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

3 Figure 2 The types of life-threatening infections in 151 septic adults receiving extracorporeal life support between 2001 and 2011 classified by primary site of infection and mode of extracorporeal life support. VA, Venoarterial; ECMO, extracorporeal membrane oxygenation; VV, venovenous; RTI, respiratory tract infection; BSI, primary bloodstream infection; IAI, intra-abdominal infection; IE, infective endocarditis; MD, mediastinitis; NF, necrotizing fasciitis; UTI, bacteremic urinary tract infection; MY, myocarditis. The Journal of Thoracic and Cardiovascular Surgery  , e1DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

4 Figure 3 Kaplan-Meier estimate of the survival curves for early rescue (admission-to-ECMO onset within 96 hours) versus secondary or late rescue (admission-to-ECMO interval after the initial 96 hours of hospitalization). A, For the entire cohort of 151 septic adults. B, For the well-selected cohort aged 75 years or younger without end-stage comorbidities. ECMO, Extracorporeal membrane oxygenation. The Journal of Thoracic and Cardiovascular Surgery  , e1DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

5 Early (within first 96 hours of admission) versus late rescue impacts survival on extracorporeal membrane oxygenation. The Journal of Thoracic and Cardiovascular Surgery  , e1DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

6 Video 1 Emergent set-up of a venoarterial extracorporeal membrane oxygenation circuit via the femoral route in an elderly patient with massive pulmonary embolism requiring continuous cardiopulmonary resuscitation to bridge to open thrombectomy. Video available at: The Journal of Thoracic and Cardiovascular Surgery  , e1DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions


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