Use of Extracorporeal Oxygenation (ECMO) in Intensive Care
DOI:
https://doi.org/10.33448/rsd-v10i9.17727Keywords:
Extracorporeal Membrane Oxygenation; Critical Care; Respiratory Distress Syndrome; Clinical trial.Abstract
Objective: To evaluate whether the use of ECMO in patients with respiratory distress in intensive care, compared to patients who did not undergo intervention, improves their prognosis. Methods: Systematic review performed on the Medical Literature Analysis and Retrieval System Online platform, accessed by the Virtual Health Library and at PUBMED, database of the U.S. National Library of Medicine. Descriptors in Health Sciences in English were used: Extracorporeal Membrane Oxygenation, Critical Care, Respiratory Distress Syndrome and Clinical Trial, totaling 77 articles. The filters used involved the availability of the full text, in which 58 articles were presented, published from the year 2011, reaching 49 articles and randomized clinical studies, totaling 10 articles, and no duplicate documents were found in the eligible databases. Results: ECMO showed significant results and with morbidity and mortality rates well below compared to conventional treatments, although, in some situations, it is limited, requiring the use of adjuvant therapies, preventive and intensive care, which together result in a greater chance of survival and guarantees an exponential increase in prognosis improvement. Conclusion: It was analyzed that ECMO therapy showed significant results and with morbidity and mortality well below conventional therapies. Although these results are positive for the use of ECMO, in some situations it is limited, requiring the use of adjuvant therapies.
References
Atallah et al. (1997). Revisão Sistemática da Literatura e Metanálise: melhor forma de evidência para tomada de decisão em saúde e a maneira mais rápida de atualização terapêutica. Diagnóstico e Tratamento, 2(2), 20-28.
Bonacchi, M., Harmelin, G., Peris, A., & Sani, G. (2011). A novel strategy to improve systemic oxygenation in venovenous extracorporeal membrane oxygenation: the "χ-configuration". The Journal of thoracic and cardiovascular surgery, 142(5), 1197–1204. https://doi.org/10.1016/j.jtcvs.2011.01.046.
Bronicki, R. A., Fortenberry, J., Schreiber, M., Checchia, P. A., & Anas, N. G. (2015). Multicenter randomized controlled trial of inhaled nitric oxide for pediatric acute respiratory distress syndrome. The Journal of pediatrics, 166(2), 365–9.e1. https://doi.org/10.1016/j.jpeds.2014.10.011.
Cabezón et al. (2013). Síndrome de distrés respiratorio agudo: revisióna propósito de la definición de Berlín. Revista Española de Anestesiología y Reanimación, 61(6), 319-327. http://dx.doi.org/10.1016/j.redar.2014.02.007.
Celesia, B. M., Marino, A., Borracino, S., Arcadipane, A. F., Pantò, G., Gussio, M., Coniglio, S., Pennisi, A., Cacopardo, B., & Panarello, G. (2020). Successful Extracorporeal Membrane Oxygenation Treatment in an Acquired Immune Deficiency Syndrome (AIDS) Patient with Acute Respiratory Distress Syndrome (ARDS) Complicating Pneumocystis jirovecii Pneumonia: A Challenging Case. The American journal of case reports, 21, e919570. https://doi.org/10.12659/AJCR.919570
De Rosa, F. G., Fanelli, V., Corcione, S., Urbino, R., Bonetto, C., Ricci, D., Rinaldi, M., Di Perri, G., Bonora, S., & Ranieri, M. V. (2014). Extra Corporeal Membrane Oxygenation (ECMO) in three HIV-positive patients with acute respiratory distress syndrome. BMC anesthesiology, 14, 37. https://doi.org/10.1186/1471-2253-14-37
Diehl, A. A. (2004). Pesquisa em ciências sociais aplicadas: métodos e técnicas. São Paulo: Prentice Hall.
Galvão, T. F., & Pereira, M. G. (2014). Revisões sistemáticas da literatura: passos para sua elaboração. Epidemiologia e Serviços de Saúde, 23(1), 183-184. http://scielo.iec.gov.br/scielo.php?script=sci_arttext&pid=S1679-49742014000100018&lng=pt&tlng=pt.
Grasselli, G., Zanella, A., & Pesenti, A. (2019). Veno-venous extracorporeal membrane oxygenation in acute respiratory distress syndrome: should the EOLIA Study results change our clinical approach?. Minerva anestesiologica, 85(8), 909–913. https://doi.org/10.23736/S0375-9393.19.13490-6
Hernandez Conte, A. T., Ng, D., Ramzy, D., Dilibero, D., LaBounty, T. M., Gaultier, C., & Behringer, E. C. (2018). Extracorporeal Membrane Oxygenation in a 29-Year-Old Man with Pneumocystis jirovecii Respiratory Failure and AIDS. Texas Heart Institute journal, 45(4), 254–259. https://doi.org/10.14503/THIJ-16-6186
Horikita, S., Sanui, M., Fujimoto, Y., & Lefor, A. K. (2017). Successful repeat ECMO in a patient with AIDS and ARDS. BMJ case reports, 2017, bcr2017219870. https://doi.org/10.1136/bcr-2017-219870
Kim, K. T., Morton, S., Howe, S., Chiew, Y. S., Knopp, J. L., Docherty, P., Pretty, C., Desaive, T., Benyo, B., Szlavecz, A., Moeller, K., Shaw, G. M., & Chase, J. G. (2020). Model-based PEEP titration versus standard practice in mechanical ventilation: a randomised controlled trial. Trials, 21(1), 130. https://doi.org/10.1186/s13063-019-4035-7
Lee, N., Lawrence, D., Patel, B., & Ledot, S. (2017). HIV-related Pneumocystis jirovecii pneumonia managed with caspofungin and veno-venous extracorporeal membrane oxygenation rescue therapy. BMJ case reports, 2017, bcr2017221214. https://doi.org/10.1136/bcr-2017-221214
Mauri, T., Grasselli, G., Suriano, G., Eronia, N., Spadaro, S., Turrini, C., Patroniti, N., Bellani, G., & Pesenti, A. (2016). Control of Respiratory Drive and Effort in Extracorporeal Membrane Oxygenation Patients Recovering from Severe Acute Respiratory Distress Syndrome. Anesthesiology, 125(1), 159–167. https://doi.org/10.1097/ALN.0000000000001103
Nakamura, K., Hikone, M., Shimizu, H., Kuwahara, Y., Tanabe, M., Kobayashi, M., Ishida, T., Sugiyama, K., Washino, T., Sakamoto, N., & Hamabe, Y. (2020). A sporadic COVID-19 pneumonia treated with extracorporeal membrane oxygenation in Tokyo, Japan: A case report. Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy, 26(7), 756–761. https://doi.org/10.1016/j.jiac.2020.03.018
Rieder, M., Schubach, F., Schmoor, C., von Spee-Mayer, C., Wengenmayer, T., Rilinger, J., Staudacher, D., Bode, C., Duerschmied, D., & Supady, A. (2021). Cytokine adsorption in patients with severe COVID-19 pneumonia requiring extracorporeal membrane oxygenation: protocol for a randomised, controlled, open-label intervention, multicentre trial. BMJ open, 11(1), e043345. https://doi.org/10.1136/bmjopen-2020-043345
Rilinger, J., Staudacher, D. L., Rieg, S., Duerschmied, D., Bode, C., & Wengenmayer, T. (2019). Extracorporeal membrane oxygenation in Pneumocystis jirovecii pneumonia: outcome in HIV and non-HIV patients. Critical care (London, England), 23(1), 356. https://doi.org/10.1186/s13054-019-2661-9
Schneider, J. B., Sweberg, T., Asaro, L. A., Kirby, A., Wypij, D., Thiagarajan, R. R., Curley, M., & Randomized Evaluation of Sedation Titration for Respiratory Failure (RESTORE) Study Investigators (2017). Sedation Management in Children Supported on Extracorporeal Membrane Oxygenation for Acute Respiratory Failure. Critical care medicine, 45(10), e1001–e1010. https://doi.org/10.1097/CCM.0000000000002540
Sousa, M. N. A. (2020). Trilhas acadêmicas: caminhos para a concepção, execução e publicação de artigos científicos. Curitiba: Editora CRV
Stokes, J. W., Gannon, W. D., Sherrill, W. H., Armistead, L. B., Bacchetta, M., Rice, T. W., Semler, M. W., & Casey, J. D. (2020). Bleeding, Thromboembolism, and Clinical Outcomes in Venovenous Extracorporeal Membrane Oxygenation. Critical care explorations, 2(11), e0267. https://doi.org/10.1097/CCE.0000000000000267
Wilcox, M. E., Jaramillo-Rocha, V., Hodgson, C., Taglione, M. S., Ferguson, N. D., & Fan, E. (2020). Long-Term Quality of Life After Extracorporeal Membrane Oxygenation in ARDS Survivors: Systematic Review and Meta-Analysis. Journal of intensive care medicine, 35(3), 233–243. https://doi.org/10.1177/0885066617737035
Zina, L. G., & Moimaz, S. A. S. (2016). Odontologia baseada em evidência: etapas e métodos de uma revisão sistemática. Arquivos Em Odontologia, 48(3). https://periodicos.ufmg.br/index.php/arquivosemodontologia/article/view/3610
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Copyright (c) 2021 Bianca Fonseca de Araújo; André Mendes Figueirêdo; Maria Eduarda Diógenes de Freitas Queiroz; Saulo Landim Lucas Bezerra; Vitória Souza Saturnino; Milena Nunes Alves de Sousa
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