Related Experiment Video
Updated: Dec 19, 2025
03:40
Point-of-Care Ultrasound for Peripheral Veno-Arterial Extracorporeal Membrane Oxygenation Without Left Ventricular Venting
Published on: January 17, 2025
649
Procedural volume and outcomes in patients undergoing VA-ECMO support
Peter Moritz Becher1, Alina Goßling2, Benedikt Schrage2,3
1Department of Cardiology, University Heart and Vascular Center Hamburg, Martinistrasse 52, 20246, Hamburg, Germany. m.becher@uke.de.
Critical Care (London, England)
|June 7, 2020
Summary
Higher hospital volume for venoarterial extracorporeal membrane oxygenation (VA-ECMO) is linked to better patient outcomes. Lower volume centers experienced increased 30-day mortality and complication rates for VA-ECMO procedures.
Area of Science:
- Cardiology
- Cardiothoracic Surgery
- Critical Care Medicine
Background:
- Venoarterial extracorporeal membrane oxygenation (VA-ECMO) is a vital treatment for severe cardiopulmonary failure.
- Understanding the impact of procedural volume on patient outcomes is crucial for optimizing care.
Purpose of the Study:
- To investigate the association between hospital VA-ECMO procedure volume and patient outcomes.
- To analyze the relationship between procedural volume and complication rates in a nationwide registry.
Main Methods:
- Analysis of administrative data from the German Federal Health Monitoring System (2013-2016).
- Inclusion of 10,207 VA-ECMO procedures, examining outcomes and complications based on hospital volume categories.
Main Results:
- Most VA-ECMO implantations occurred at low-volume hospitals (≤50 procedures/year).
- A significant association was found between lower annual VA-ECMO volume and increased 30-day in-hospital mortality (aOR 1.13).
- Hospitals with lower annual VA-ECMO volume showed a higher likelihood of complications (aOR 1.46).
Conclusions:
- The majority of VA-ECMO procedures are performed in low-volume centers.
- Lower annual VA-ECMO procedural volume is associated with higher 30-day mortality and complication rates.
Related Concept Videos
01:23Mechanical Ventilation III: Noninvasive Ventilation
433
Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation...
Noninvasive Positive-Pressure Ventilation...
433
01:23Mechanical Ventilation II: Invasive Ventilation
505
Ventilators are essential medical equipment used to aid patients with respiratory difficulties. Their primary function is to assist or replace spontaneous breathing by providing mechanical ventilation. There are two general classes of mechanical ventilators: negative-pressure and positive-pressure ventilators.
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
505
01:29Mechanical Ventilation I: Indication and Settings
2.2K
Mechanical ventilation is a life-saving technique for managing acute respiratory failure and other respiratory complications. The process involves using a machine known as a ventilator to supply oxygen to the lungs and assist in removing carbon dioxide. It serves as a bridge to long-term mechanical ventilation or a temporary measure until ventilatory support is discontinued. The ventilator can maintain this function for a prolonged period, providing critical support for patients until they can...
2.2K
01:26Varicose Veins II: Diagnostic Studies and Interprofessional Care
104
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
104
01:26Endoscopic Studies II: Thoracocentesis
1.0K
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
1.0K
01:23Tracheostomy Suctioning II: Procedure
1.2K
Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
1.2K