February 23, 2012

Extracorporeal membrane oxygenation in awake patients as bridge to lung transplantation


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Strategies to bridge terminally ill patients to lung transplantation are being explored to improve waiting list mortality rates.  This retrospective, single-centre, intention-to-treat analysis of lung transplantation candidates with terminal respiratory or cardiopulmonary failure compared duration of support and survival 6 months post lung transplantation in 26 patients bridged with extracorporeal membrane oxygenation while awake and spontaneously breathing to 34 patients bridged with conventional mechanical ventilation.   The duration of support was comparable, and survival at 6 months in the awake ECMO group was 80% versus 50% in the mechanical ventilation group (p=0.20).

Lung Transplantation

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