Long-term outcomes of patients with acute hypoxemic respiratory failure due to #COVID19 pneumonia, follow-up study of the Helmet-COVID RCT. Helmet noninvasive ventilation compared to usual respiratory support: did not decrease 180-day mortality
did not improve health-related quality of life
invasive mechanical ventilation independent predictor of lower HRQoL
Free to read #FOAMcc #COVIDFOAM on @ICM https://rdcu.be/c6ioV
Outcomes of #ECMO for COVID19 vs non-COVID related viral #ARDS? Substantially different prognosis! According to this ELSO Registry analysis, longer run, more complications, higher rate of death on #ECLS and statistically higher overall in-hospital mortality for patients with #SARSCoV2 compared with patients with other viral pathogens. Open access #FOAMcc #FOAMecmo #COVIDFOAM
http://bit.ly/3RMbhna
#ECMO for #COVID19 related #ARDS, narrative review: #ECLS
evidence for extracorporeal support in ARDS management
VV & VA
special populations: pregnant patients, children #PedsICU
prolonged ECMO & lung #transplantation
Open access #FOAMcc #FOAMecmo #COVIDFOAM http://bit.ly/3IalmqB
#SARSCoV2 infection? Vaccination effective to reduce risk of death in #ICU patients with severe respiratory failure associated to #COVID19 requiring ventilatory support: results from multicenter study enrolling patients from 27 ICUs.
Free to read #FOAMcc #COVIDFOAM on @ICM https://rdcu.be/c4cb3
Evaluating accuracy of ROX & PROX ( = pressure respiratory rate oxygenation index = ratio between oxygenation parameter, assessed by SpO2/FiO2, & product of respiratory rate x PEEP) in predicting negative outcome in #COVID19 related hypoxemic respiratory failure. https://rdcu.be/c3afK
PS on ROX also read https://rdcu.be/cYtuF
All free to read #FOAMcc #COVIDFOAM on @ICM
#ECLS provision in #COVID19, international @EuroELSO 2022 update survey: majority of pts received #ECMO for respiratory support
adults dominated
indications/contraindications aligned with available guidelines
most of centers considered age > 65 or biological age as contraindication for ECLS
withdrawal criteria difficult to define as long-term outcomes, impact of critical illness & of long-COVID still not known
Open #FOAMcc #FOAMecmo #COVIDFOAM #EuroELSO2023 https://bit.ly/3ZqOror
Acute disease severity in #COVID19: patients who needed mechanical ventilation during hospital stay had significantly lower health‐related quality of life & worse results for mortality, major cardiovascular events, re‐hospitalisation, new disabilities in instrumental activities of daily living, anxiety and post‐traumatic stress symptoms, and return to work or study vs pts who did not need MV. Full results of coalition VII
prospective cohort study #FOAMcc #COVIDFOAM
https://rdcu.be/c2WsP
#ECMO during #COVID19, The Society of Thoracic Surgeons STS & @ELSO Extracorporeal Life Support Organization collaborative survey comparing practices related to ECMO initiation, cannulation, management, anticoagulation,
triage/protocols, credentialing before/during #pandemic in North American ELSO centers.
Pandemic affected #ECLS practice! Full results open access #FOAMcc #FOAMecmo #COVIDFOAM at https://bit.ly/3GgwHo4
Early reversal of RV dysfunction after VV #ECMO in patients with #COVID19 related refractory #ARDS?? #Extracorporeal support initiation associated with rapid decrease in pulmonary artery pressure, improvement of right ventricular function & resolution of ACP-induced circulatory failure.
Open access #FOAMcc #COVIDFOAM https://bit.ly/3XXbQ04
Mental health symptom in survivors of severe #COVID19 related #ARDS? Occurrence of symptoms of anxiety, depression or PTSD poorly correlated with peripheral inflammatory biomarkers concentrations. Until #PTSD-specific biomarkers can be identified & validated in this setting, early screening of mental health symptoms should be offered regardless concentrations of initial inflammatory biomarkers.
Free to read #FOAMcc #COVIDFOAM on @ICM https://rdcu.be/c0VFk