Article Sidebar

PDF
Date Published: 17/03/2023
Abstract Views: 248
Views PDF: 165
DOI: https://doi.org/10.51298/vmj.v524i1A.4601
Issue
Vol. 524 No. 1A (2023)
Section
Các bài báo
How to Cite
Nguyễn, A. T. ., & Nguyễn, C. T. . (2023). RESULTS OF USING EXTRACORPOREAL MEMBRANE OXYGENATION IN PATIENTS UNRESPONSIVE TO VASOACTIVE – INOTROPIC DRUGS. Vietnam Medical Journal, 524(1A). https://doi.org/10.51298/vmj.v524i1A.4601

RESULTS OF USING EXTRACORPOREAL MEMBRANE OXYGENATION IN PATIENTS UNRESPONSIVE TO VASOACTIVE – INOTROPIC DRUGS

Anh Tuấn Nguyễn1,, Công Tấn Nguyễn1
1 Bach Mai hospital

Main Article Content

Abstract

This study was conducted to evaluate the results of the improvement of circulation, respiratory and organ function of patients with anaphylactic shock not responding to high dose vasopressors- inotropes and/or circulatory arrest by using extracorporeal membrane oxygenation (ECMO). This case series was performed on 19 patients diagnosed with anaphylactic shock at the intensive care unit of Bach Mai Hospital, requiring ECMO intervention. Information on general characteristics, anaphylaxis, and circulatory failure characteristics of the patient prior to ECMO and ECMO outcome evaluation study indicators were collected. Results showed that the rate of successful ECMO withdrawal was 73.7% and the high rate of hospital discharge patients was 68.4%. ECMO was effective in improving circulatory function, respiratory function, and organ function in support of the treatment of anaphylactic patients not responding to high dose vasopressors - inotropes and/or circulatory arrest.

Article Details

Keywords

Extracorporeal membrane oxygenation, ECMO, anaphylaxis

References

1. F. Estelle R. Simons, Ledit RF Ardusso, M. Beatrice Bilò và các cộng sự. (2014), "International consensus on (ICON) anaphylaxis", World Allergy Organization Journal, 7(1), tr. 1-19.
2. Richard S. H. Pumphrey và M. Hazel Gowland (2007), "Further fatal allergic reactions to food in the United Kingdom, 1999-2006", Journal of Allergy and Clinical Immunology, 119(4), tr. 1018-1019.
3. Riza Yilmaz, Ozlem Yuksekbas, Zerrin Erkol và các cộng sự. (2009), "Postmortem Findings After Anaphylactic Reactions to Drugs in Turkey", The American Journal of Forensic Medicine and Pathology, 30(4), tr. 346-349.
4. Joseph P Wood, Stephen J Traub và Christopher Lipinski (2013), "Safety of epinephrine for anaphylaxis in the emergency setting", World journal of emergency medicine, 4(4), tr. 245.
5. Wakkas Tayara, Randall C. Starling, Mohamad H. Yamani và các cộng sự. (2006), "Improved Survival After Acute Myocardial Infarction Complicated by Cardiogenic Shock With Circulatory Support and Transplantation: Comparing Aggressive Intervention With Conservative Treatment", The Journal of Heart and Lung Transplantation, 25(5), tr. 504-509.
6. G. Hernandez, A. Bruhn, R. Castro và các cộng sự. (2012), "The holistic view on perfusion monitoring in septic shock", Curr Opin Crit Care, 18(3), tr. 280-6.
7. M. E. Mikkelsen, A. N. Miltiades, D. F. Gaieski và các cộng sự. (2009), "Serum lactate is associated with mortality in severe sepsis independent of organ failure and shock", Crit Care Med, 37(5), tr. 1670-7.