International Perfusion Association

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IPA

Day: April 10, 2024

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Comparison of Conventional Methods with Pump-Controlled Retrograde Trial off for Weaning Adults with Cardiogenic Shock from Veno-Arterial Extracorporeal Membrane Oxygenation

This retrospective study evaluates the effectiveness of pump-controlled retrograde trial off (PCRTO) versus conventional weaning methods from veno-arterial extracorporeal membrane oxygenation (VA-ECMO) in adults with cardiogenic shock. It found that the PCRTO method significantly improves survival rates to discharge compared to non-PCRTO methods (90% vs. 72%) and reduces the incidence of cardiogenic shock post-weaning (5% vs. 16%). PCRTO, offering a safe and reversible weaning process, emerges as a useful predictor for successful VA-ECMO weaning through a preload stress test, suggesting its viability as a preferred approach in clinical practice.

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April 10, 2024
Coronary ECMO

The Jena Method: Perfusionist Independent, Standby Wet-Primed Extracorporeal Membrane Oxygenation (ECMO) Circuit for Immediate Catheterization Laboratory and/or Hybrid Operating Room Deployment

The Jena Method introduces a revolutionary approach to deploying extracorporeal membrane oxygenation (ECMO) rapidly in emergency situations, without needing a perfusionist on hand. By maintaining a wet-primed ECMO system ready for immediate use, this method significantly reduces the initiation time for life-support procedures. Sterility and functionality of the ECMO components are maintained up to 14 days, ensuring patient safety. Training staff for independent ECMO setup and a pictorial guide facilitate quick and efficient deployment. Since its implementation in 2015, this method has demonstrated feasibility, safety, and the potential for widespread adoption in critical care settings, providing a significant advancement in emergency cardiac care.

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April 10, 2024

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