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Intensive Care Medicine

, Volume 44, Issue 12, pp 2312–2314 | Cite as

Albumin fluid resuscitation in patients on venoarterial extracorporeal membrane oxygenation (VA-ECMO) therapy is associated with improved survival

  • Tobias Wengenmayer
  • Florentine Schroth
  • Paul M. Biever
  • Daniel Duerschmied
  • Christoph Benk
  • Georg Trummer
  • Klaus Kaier
  • Christoph Bode
  • Dawid L. Staudacher
Letter

Dear Editor,

Venoarterial extracorporeal membrane oxygenation (VA-ECMO) supplies blood flow and perfusion pressure to patients in cardiogenic shock or in extracorporeal cardiopulmonary resuscitation (eCPR). Shock [1], resuscitation [2] and the extracorporeal circuit [3] may trigger capillary leakage and intravascular volume depletion. VA-ECMO drainage, however, is dependent on venous return and stressed vascular volume. Therefore, substantial amounts of crystalloid fluids are administered in VA-ECMO which negatively impact survival [4]. Data suggest potential benefit of albumin fluid resuscitation in septic shock [5]. The optimal fluid resuscitation strategy in VA-ECMO patients, however, is unclear. Thus, the aim of the present study was to evaluate albumin versus crystalloid fluid resuscitation in VA-ECMO.

We performed a retrospective registry study including cases from October 2010 to October 2017 at a single medical intensive care unit. Only VA-ECMO patients with a positive fluid...

Notes

Compliance with ethical standards

Conflicts of interest

No author reports any conflict of interest concerning this publication.

Supplementary material

134_2018_5443_MOESM1_ESM.docx (401 kb)
Supplementary material 1 (DOCX 400 kb)

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature and ESICM 2018

Authors and Affiliations

  • Tobias Wengenmayer
    • 1
    • 2
  • Florentine Schroth
    • 1
    • 2
  • Paul M. Biever
    • 1
    • 2
  • Daniel Duerschmied
    • 1
    • 2
  • Christoph Benk
    • 3
  • Georg Trummer
    • 3
  • Klaus Kaier
    • 1
    • 4
  • Christoph Bode
    • 1
    • 2
  • Dawid L. Staudacher
    • 1
    • 2
  1. 1.Department of Cardiology and Angiology I, Heart Center Freiburg University, Faculty of MedicineUniversity of FreiburgFreiburgGermany
  2. 2.Department of Medicine III (Interdisciplinary Medical Intensive Care), Medical Center, University of Freiburg, Faculty of MedicineUniversity of FreiburgFreiburgGermany
  3. 3.Department of Cardiovascular Surgery, Heart Center Freiburg University, Faculty of MedicineUniversity of FreiburgFreiburgGermany
  4. 4.Institute for Medical Biometry and Statistics, Faculty of MedicineUniversity of FreiburgFreiburgGermany

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