Application of extracorporeal membrane oxygenation in adult patients with severe acute respiratory failure after cardiac surgery
Jiang Chunjing
Yang Feng
Hao Xing
Xu Bo
Guo Dong
Hei Feilong
Hou Xiaotong
Abstract：Objective To evaluate the efficacy of V-V ECMO in adult patients with severe acute respiratory failure after cardiac surgery.Methods We collected data of patients who received V-V ECMO assistance after adult cardiac surgery com-bined with severe acute respiratory failure in our center between July 2018 and December 2021,and to analyze the survival rate of hospitalization as well as ECMO-related complications in them.Results Totally thirteen patients were collected,76.9%were male,the mean age was 65.2 years,and the mean duration of ECMO was 145.2 hours.Eleven patients(84.6%)were successfully weaned from V-V ECMO.Eight patients(61.5%)survived to hospital discharge.Among the death cases,three were due to MOF and two were due to respiratory failure.Conclusion The use of V-V ECMO in adult patients with severe ALF after cardiac sur-gery can significantly reduce hospital mortality without increasing the incidence of ECMO related complications.Therefore,the use of V-V ECMO in this group of patients is safe and effective.
Keywords：Cardiac surgeryAcute respiratory failureExtracorporeal membrane oxygenationCardiopulmonary bypass
Publication Date：2023-10-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 263-266,297 )