Articles Vol. 65 No. CĐ 3 - Bệnh viện Phổi Trung ương 15/05/2024

50. INITIAL RESULTS OF APPLYING ECMO - V V FOR TREATING PATIENTS WITH SEVERE ACUTE RESPIRATORY DISTRESS SYNDROME AT INTENSIVE CARE DEPARTMENT OF NATIONAL LUNG HOSPITAL IN 2023

Nguyen Hoang Son1,2, Nguyen Quang Hoa1,2
1 National Lung Hospital
2 Bệnh viện Phổi Trung ương
Corresponding author: Bs.hoangson@gmail.com
DOI: 10.52163/yhc.v65iCD3.1148
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Keywords
Severe Pneumonia, Acute respiratory distress syndrome (ARDS), ECMO – VV.
Abstract

Objective: Review the initial results of applying ECMO - VV for treating patients with severe acute respiratory distress syndrome (ARDS) at Intensive Care Department of National Lung Hospital in 2023.

Method: Case-series study design, performed on 13 patients with severe ARDS who were technique applied ECMO - VV at the Intensive Care Department of National Lung Hospital.

Results: 13 ARDS patients were treated with ECMO - VV technique at Intensive Care Department of National Lung Hospital in 2023. The study describes a series of cases. The average age is 53.6 ± 13.5 years old, men account for 8/13. Before ECMO - VV intervention, the average SOFA score was 6.77 ± 1.83. The median duration of ECMO intervention is 5 days, the longest period is 30 days. The most common complications are thrombocytopenia (<80G/l): 9 patients (69.2%); new infections after 48 hours of EMCO treatment, 8 patients (61.5%).

Conclusions: 7 patients (53.8%) were successfully weaned off ECMO. The rate of survival is 6/13. Conclusion: ECMO - VV is a necessary technique to ensure blood oxygenation for severe ARDS patients, is effective in treating the causes of acute respiratory failure.

References
[1]
M. J. D. Griffiths, D. F. McAuley, G. D. Perkins Google Scholar
[2]
et al., Guidelines on the management of acute Google Scholar
[3]
respiratory distress syndrome. BMJ Open Respir Google Scholar
[4]
Res, 6(1), 2019. Google Scholar
[5]
Bertini P, Guarracino F, Falcone M et al., ECMO Google Scholar
[6]
in COVID-19 Patients: A Systematic Review Google Scholar
[7]
and Meta-analysis. J Cardiothorac Vasc Anesth, Google Scholar
[8]
(8 Pt A):2700-2706, 2022. Google Scholar
[9]
Matthay MA, Arabi Y, Arroliga AC et al., A Google Scholar
[10]
New Global Definition of Acute Respiratory Distress Google Scholar
[11]
Syndrome. Am J Respir Crit Care Med;209(1):37-47, 2024. Google Scholar
[12]
Abrams D, Ferguson ND, Brochard L et Google Scholar
[13]
al., ECMO for ARDS:from salvage to standard of care? Google Scholar
[14]
The LancetRespiratory Medicine;7:108-10, 2019. Google Scholar
[15]
Thomas V, Laurance L, Roberto L et al., Medical Google Scholar
[16]
Management of the Adult with Respiratory Failure Google Scholar
[17]
on ECLS, Extracorporeal Life Support: The Google Scholar
[18]
ELSO Red Book 5th Edition, 449-458. Extracorporeal Google Scholar
[19]
Life Support Organization, 2017. Google Scholar
[20]
Phạm Thế Thạch, Kết quả điều trị suy hô hấp cấp Google Scholar
[21]
tiến triển nặng bằng kỹ thuật ecmo tĩnh mạch - Google Scholar
[22]
tĩnh mạch, Tạp chí Nghiên cứu Y học 132 (8) Google Scholar
[23]
-181, 2020. Google Scholar
[24]
Vũ Đình Phú, Đồng Phú Khiêm, Phạm Ngọc Google Scholar
[25]
Thạch, Kết quả bước đầu áp dụng ECMO - VV Google Scholar
[26]
điều trị bệnh nhân suy hô hấp cấp nặng tại Khoa Google Scholar
[27]
Hồi sức tích cực Bệnh viện Bệnh nhiệt đới Trung Google Scholar
[28]
ương, Tạp chí Truyền nhiễm Việt Nam, 2(30), Google Scholar
[29]
, 13-18. Google Scholar
[30]
Luyt CE, Bouadma L, Morris AC et al., Pulmonary Google Scholar
[31]
infections complicating ARDS. Intensive Care Med Google Scholar
[32]
, 2020, 2168–218. Google Scholar
[33]
Jiritano F, Serraino GF, Ten Cate H et al., Platelets and Google Scholar
[34]
extra-corporeal membrane oxygenation Google Scholar
[35]
in adult patients: A systematic review and meta-analysis. Google Scholar
[36]
Intensive Care Med;46(6):1154-1169, 2020. Google Scholar