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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 286 - 294 (9page)
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초록· 키워드
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Background: Extracorporeal membrane oxygenation (ECMO) is administered for a few days after lung transplantation (LTx) in recipients who are expected to have early graft dysfunction. Despite its life-saving potential, immediate postoperative ECMO has lifethreatening complications such as postoperative bleeding. We investigated the risk factors related to the use of immediate postoperative ECMO.
Methods: We retrospectively reviewed the records of 60 LTx patients who were at our institution from October 2012 to May 2015.
Perioperative variables associated with postoperative ECMO were compared between the two groups.
Results: There were 26 patients who received postoperative ECMO (ECMO group) and 34 patients who did not (control group). Multivariate regression analysis revealed preoperative ECMO (odds ratio [OR] 12.55, 95% confidence intervals [CI] 1.34 – 117.24, p = 0.027) and lower peripheral pulse oxymetry saturation (SpO2) at the end of surgery (OR 0.71, 95% CI 0.54 – 0.95, p = 0.019) were independent risk factors for postoperative ECMO in LTx patients. The incidences of complications, such as re-operation, tracheostomy, renal failure and postoperative atrial fibrillation, were higher in the ECMO group. There was no difference in the duration of postoperative intensive care unit stay or postoperative 30-day mortality between the two groups.
Conclusions: The preoperative ECMO and lower SpO2 at the end of surgery were associated with postoperative ECMO. Further, postoperative adverse events were higher in the ECMO group compared with the control group. This study suggests that determination of postoperative ECMO requires careful consideration because of the risks of postoperative ECMO in LTx patients.
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참고문헌 (19)
참고문헌 신청
Aigner C / 2007 / Institutional experience with extracorporeal membrane oxygenation in lung transplantation / Eur J Cardiothorac Surg 31 : 468 ~ 473
Bermudez CA / 2009 / Extracorporeal membrane oxygenation for primary graft dysfunction after lung transplantation: long-term survival / Ann Thorac Surg 87 : 854 ~ 860
Castleberry AW / 2013 / Extracorporeal membrane oxygenation post lung transplantation / Curr Opin Organ Transplant 18 : 524 ~ 530
Christie JD / 2005 / Report of the ISHLT Working Group on Primary Lung Graft Dysfunction part II: definition. A consensus statement of the International Society for Heart an
Fischer S / 2007 / Extracorporeal membrane oxygenation for primary graft dysfunction after lung transplantation:analysis of the Extracorporeal Life Support Organization (ELSO
Bermudez CA / 2009 / Extracorporeal membrane oxygenation for primary graft dysfunction after lung transplantation: long-term survival / Ann Thorac Surg 87 : 854 ~ 860
Castleberry AW / 2013 / Extracorporeal membrane oxygenation post lung transplantation / Curr Opin Organ Transplant 18 : 524 ~ 530
Christie JD / 2005 / Report of the ISHLT Working Group on Primary Lung Graft Dysfunction part II: definition. A consensus statement of the International Society for Heart an
Fischer S / 2007 / Extracorporeal membrane oxygenation for primary graft dysfunction after lung transplantation:analysis of the Extracorporeal Life Support Organization (ELSO
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