Erschienen in:
12.03.2018 | What's New in Intensive Care
Have we averted deaths using venoarterial ECMO?
verfasst von:
Matthieu Schmidt, Hannah Wunsch, Daniel Brodie
Erschienen in:
Intensive Care Medicine
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Ausgabe 12/2018
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Excerpt
Venoarterial extracorporeal membrane oxygenation (VA-ECMO) for refractory cardiogenic shock in adults is currently the quickest and cheapest way to obtain biventricular heart–lung support at the bedside [
1]. The precise incidence of VA-ECMO is not well understood and varies by country. However, the increasing use of VA-ECMO has been well documented throughout the world [
2,
3]. The epidemiology of VA-ECMO has been best characterized in Germany, where the incidence of VA-ECMO increased substantially from 96 cases in 2007 (incidence 0.1:100,000) to 2873 cases (3.5:100,000) in 2014, a 35-fold increase in use during that time [
2]. Importantly, with such extraordinary growth in use coupled with persistent high mortality, we must begin to understand: Is VA-ECMO saving lives? One way to measure this is by calculating the number of deaths averted by using VA-ECMO. …