The ProtekDuo in ECMO configuration for ARDS secondary to COVID-19 - a systematic review
Perfusion
; 38(1 Supplement):135, 2023.
Article
Dans Anglais
| EMBASE | ID: covidwho-20239489
ABSTRACT
Objectives:
Assessment of the literature on the ProtekDuo cannula when used as venopulmonary (V-P) extracorporeal membrane oxygenation (ECMO) in ARDS secondary to COVID-19. Method(s) Systematic literature search in EMBASE, Medline (Pubmed) and NHS library using appropriate keywords as well as PICOS and PRISMA approach. Result(s) We found 285 publications, of which 5 publications met the search criteria and were included in this review. A total of 194 patients with COVID-19 related ARDS had a ProtekDuo placed to establish venovenous (V-V) ECMO and right ventricular (RV) support. Patients treated with the ProtekDuo cannula had survival rates between between the studies of 59 and 89%, with a significant survival compared to an invasive ventilation group or when compared to dual site V-V ECMO or other double lumen ECMO cannulas. One of the studies focused on extubation and early discontinuation of ventilator support, which the authors achieved in 100% of ProtekDuo patients. The incidence of acute kidney injury (AKI) and use of continuous renal replacement therapy (CRRT) was significantly reduced in the ProtekDuo versus other groups. Conclusion(s) The ProtekDuo displayed lower mortality rates, AKI occurrence and CRRT need as compared to other respiratory support modalities and has shown to be a game changer for ECMO support in patients suffering from COVID-19 ARDS. Many authors suggested the ProtekDuo for first line use in these patients.
acute kidney failure; adult; adult respiratory distress syndrome; artificial ventilation; assisted ventilation; conference abstract; continuous renal replacement therapy; controlled study; coronavirus disease 2019; drug withdrawal; Embase; extracorporeal membrane oxygenation cannula; extracorporeal oxygenation; extubation; female; heart right ventricle; human; incidence; invasive ventilation; male; Medline; mortality rate; survival rate; systematic review; veno-venous ECMO; ventilator
Texte intégral:
Disponible
Collection:
Bases de données des oragnisations internationales
Base de données:
EMBASE
Type d'étude:
Études expérimentales
/
Étude observationnelle
/
Étude pronostique
/
Essai contrôlé randomisé
/
Révision
/
Examen systématique/Méta-analyse
langue:
Anglais
Revue:
Perfusion
Année:
2023
Type de document:
Article
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