Non-intubated recovery from refractory cardiogenic shock on percutaneous VA-extracorporeal membrane oxygenation

Non-intubated recovery from refractory cardiogenic shock on percutaneous VA-extracorporeal membrane oxygenation

We report on the use of percutaneous femoral veno-arterial extracorporeal membrane oxygenation (VA-ECMO) in a fully awake, non-intubated and spontaneously breathing patient suffering from acute, severe and refractory cardiogenic shock due to a (sub)acute anterior myocardial infarction. Intensified h...

Full description

Saved in:
Bibliographic Details
Published in:Netherlands heart journal Vol. 23; no. 7-8; pp. 386 - 388
Main Authors: van Houte, J., Donker, D.W., Wagenaar, L.J., Slootweg, A.P., Kirkels, J.H., van Dijk, D.
Format: Journal Article
Language:English
Published: Houten Bohn Stafleu van Loghum 01-07-2015
Springer Nature B.V
Subjects:
Blood clots
Cardiology
Edema
Extracorporeal membrane oxygenation
Heart attacks
Heart Beat
Heart failure
Hemodynamics
Intubation
Medical Education
Medicine
Medicine & Public Health
Pulmonary arteries
Recovery (Medical)
Respiration
Veins & arteries
Ventilators
Weaning
Non-intubated
Refractory cardiogenic shock
Veno-arterial extracorporeal membrane oxygenation
Awake
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:We report on the use of percutaneous femoral veno-arterial extracorporeal membrane oxygenation (VA-ECMO) in a fully awake, non-intubated and spontaneously breathing patient suffering from acute, severe and refractory cardiogenic shock due to a (sub)acute anterior myocardial infarction. Intensified heart failure therapy was closely monitored with a pulmonary artery catheter and allowed gradual weaning off the ECMO support without additional invasive measures, notably without mechanical ventilation. Neurological assessment was possible at all times and complete physical mobilisation was straightforward directly after weaning from ECMO. This limited invasive approach may encourage a more widespread use of percutaneous VA-ECMO.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:1568-5888
1876-6250
DOI:10.1007/s12471-015-0721-6