Intensive care medicine
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Intensive care medicine · Jul 2020
Left ventricular overloading identified by critical care echocardiography is key in weaning-induced pulmonary edema.
To assess the role of left ventricular overload and cumulated fluid balance in the development weaning-induced pulmonary edema (WIPO). ⋯ In high-risk patients, WIPO appears related to overloaded left ventricle associated with excessive fluid balance. SBT-induced central hemodynamic changes monitored by CCE help in guiding therapy for successful weaning.
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Intensive care medicine · Jul 2020
Causes and predictors of early mortality in patients treated with left ventricular assist device implantation in the European Registry of Mechanical Circulatory Support (EUROMACS).
The aim of the study was to analyze early mortality after continuous-flow left ventricular assist device (LVAD) implantation which remains high. ⋯ In the EUROMACS registry, approximately one out of five patients die within 90 days after LVAD implantation. Early mortality is primarily dominated by multiorgan failure followed by sepsis. A simple model identifies important parameters which are associated with early mortality following LVAD implantation.