Venous-arterial extracorporeal membrane oxygenation (VA-ECMO) has gained a pivotal role in improving outcomes in cardiac patients assistance.1, 2 and 3 We aimed to evaluate whether basal lactate values and its dynamic changes played a prognostic role in 22 cardiac arrest (CA) patients supported by ECMO. ECMO assistance was performed as previously described.4 Mechanical ventilation and intra-aortic balloon pump (IABP) assistance were performed in all patients; continuous veno-venous hemodiafiltration (CVVHDF) was performed in all patients using a lactate free dialysis solution.
Dynamic behavior of lactate values in venous-arterial extracorporeal membrane oxygenation for refractory cardiac arrest / Attanà P;Lazzeri C;Chiostri M;Gensini GF;Valente S. - In: RESUSCITATION. - ISSN 0300-9572. - STAMPA. - 84:(2013), pp. 145-146. [10.1016/j.resuscitation.2013.07.007]
Dynamic behavior of lactate values in venous-arterial extracorporeal membrane oxygenation for refractory cardiac arrest.
CHIOSTRI, MARCO;GENSINI, GIAN FRANCO;
2013
Abstract
Venous-arterial extracorporeal membrane oxygenation (VA-ECMO) has gained a pivotal role in improving outcomes in cardiac patients assistance.1, 2 and 3 We aimed to evaluate whether basal lactate values and its dynamic changes played a prognostic role in 22 cardiac arrest (CA) patients supported by ECMO. ECMO assistance was performed as previously described.4 Mechanical ventilation and intra-aortic balloon pump (IABP) assistance were performed in all patients; continuous veno-venous hemodiafiltration (CVVHDF) was performed in all patients using a lactate free dialysis solution.
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