• Rev Bras Ter Intensiva · Apr 2015

    Implementation and results of a new ECMO program for lung transplantation and acute respiratory distress.

    • Eduardo San Roman, María Sofía Venuti, Nicolás Marcelo Ciarrocchi, Ignacio Fernández Ceballos, Emiliano Gogniat, Sonia Villarroel, Federico Carlos Carini, and Sergio Eduardo Giannasi.
    • Unidad de Terapia Intensiva de Adultos, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
    • Rev Bras Ter Intensiva. 2015 Apr 1; 27 (2): 134-40.

    ObjectiveThe development of the extracorporeal membrane oxygenation in Latin America represents a challenge in this specialty field. The objective of this article was to describe the results of a new extracorporeal membrane oxygenation program in an intensive care unit.MethodsThis retrospective cohort study included 22 patients who required extracorporeal membrane oxygenation and were treated from January 2011 to June 2014. The baseline characteristics, indications, duration of the condition, days on mechanical ventilation, days in the intensive care unit, complications, and hospital mortality were evaluated.ResultsFifteen patients required extracorporeal membrane oxygenation after lung transplantation, and seven patients required oxygenation due to acute respiratory distress. All transplanted patients were weaned from extracorporeal membrane oxygenation with a median duration of 3 days (Interquartile range - IQR: 2 - 5), were on mechanical ventilation for a median of 15.5 days (IQR: 3 - 25), and had an intensive care unit stay of 31.5 days (IQR: 19 - 53) and a median hospital stay of 60 days (IQR: 36 - 89) with 20% mortality. Patients with acute respiratory distress had a median oxygenation membrane duration of 9 days (IQR: 3 - 14), median mechanical ventilation time of 25 days (IQR: 13 - 37), a 31 day stay in therapy (IQR: 11 - 38), a 32 day stay in the hospital (IQR: 11 - 41), and 57% mortality. The main complications were infections (80%), acute kidney failure (43%), bleeding at the surgical site and at the site of cannula placement (22%), plateletopenia (60%), and coagulopathy (30%).ConclusionIn spite of the steep learning curve, we considered this experience to be satisfactory, with results and complications comparable to those reported in the literature.

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