Pub Date : 2022-09-04DOI: 10.1183/13993003.congress-2022.3
L. Dulcey, R. Caltagirone, J. Theran, D. Villamizar, M. Aguas, H. Moreno, J. Pineda, R. Parales
{"title":"Spontaneous pneumothorax and factors associated with its development in a cohort of COVID-19 patients in Latin America","authors":"L. Dulcey, R. Caltagirone, J. Theran, D. Villamizar, M. Aguas, H. Moreno, J. Pineda, R. Parales","doi":"10.1183/13993003.congress-2022.3","DOIUrl":"https://doi.org/10.1183/13993003.congress-2022.3","url":null,"abstract":"","PeriodicalId":289883,"journal":{"name":"02.01 - Acute critical care","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132362464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-04DOI: 10.1183/13993003.congress-2022.4096
H. Zorgati, D. Ben Braiek, I. Mighri, S. Ben Mansour, O. Saadaoui, R. Hidri, A. Douzi, C. Kaabi, A. Azaza, O. Ghabi, R. Ben Jazia, A. Kacem, I. Kharrat, J. Ayachi
{"title":"Can initial Chest CT scan findings predict high flow nasal cannula (HFNC) failure in critically ill COVID19 patients","authors":"H. Zorgati, D. Ben Braiek, I. Mighri, S. Ben Mansour, O. Saadaoui, R. Hidri, A. Douzi, C. Kaabi, A. Azaza, O. Ghabi, R. Ben Jazia, A. Kacem, I. Kharrat, J. Ayachi","doi":"10.1183/13993003.congress-2022.4096","DOIUrl":"https://doi.org/10.1183/13993003.congress-2022.4096","url":null,"abstract":"","PeriodicalId":289883,"journal":{"name":"02.01 - Acute critical care","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121463982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-04DOI: 10.1183/13993003.congress-2022.1674
J. González Gutiérrez, M. Zuil, I. D. Benítez, M. Aguilà, S. Santisteve, F. Seck, A. Moncusí-Moix, C. Gort-Paniello, A. Torres, F. Barbé
{"title":"One year overview of follow-up in a post-covid consultation of critical patients with covid-19","authors":"J. González Gutiérrez, M. Zuil, I. D. Benítez, M. Aguilà, S. Santisteve, F. Seck, A. Moncusí-Moix, C. Gort-Paniello, A. Torres, F. Barbé","doi":"10.1183/13993003.congress-2022.1674","DOIUrl":"https://doi.org/10.1183/13993003.congress-2022.1674","url":null,"abstract":"","PeriodicalId":289883,"journal":{"name":"02.01 - Acute critical care","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123494667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-04DOI: 10.1183/13993003.congress-2022.4700
G. Agmy, M. Adam, M. Elkhawaga, E. Hsanen
{"title":"High-flow nasal cannula versus noninvasive ventilation in the prevention of escalation to invasive mechanical ventilation in patients with acute hypoxemic respiratory failure","authors":"G. Agmy, M. Adam, M. Elkhawaga, E. Hsanen","doi":"10.1183/13993003.congress-2022.4700","DOIUrl":"https://doi.org/10.1183/13993003.congress-2022.4700","url":null,"abstract":"","PeriodicalId":289883,"journal":{"name":"02.01 - Acute critical care","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114968047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-04DOI: 10.1183/13993003.congress-2022.2690
D. Karadeniz Güven, G. Telli Dizman, G. Metan, G. Durhan, A. Topeli, A. Demir
{"title":"Ventilator associated pneumonia surveillance in critically ill patients with COVID-19 in a tertiary care hospital","authors":"D. Karadeniz Güven, G. Telli Dizman, G. Metan, G. Durhan, A. Topeli, A. Demir","doi":"10.1183/13993003.congress-2022.2690","DOIUrl":"https://doi.org/10.1183/13993003.congress-2022.2690","url":null,"abstract":"","PeriodicalId":289883,"journal":{"name":"02.01 - Acute critical care","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116839943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-04DOI: 10.1183/13993003.congress-2022.4725
A. Vlaar, G. Hermans, M. Witzenrath, P. van Paassen, L. Heunks, B. Mourvillier, S. de Bruin, E. L. Lim, M. Piagnerelli, A. Roquilly, J. Lascarrou, M. Bauer, C. Schwebel, M. Brouwer, P. Tuinman, T. Welte, G. Marx, U. Jaschinski, A. Cornet, A. Grebenyuk, P. Jorens, S. Rückinger, K. Pilz, C. Thielert, D. Neukirchen, L. Ruckerbauer, B. Burnett, R. Guo, D. van de Beek, N. Riedemann
{"title":"Phase 3 RCT of C5a-Specific Vilobelimab in Severe COVID-19 Pneumonia","authors":"A. Vlaar, G. Hermans, M. Witzenrath, P. van Paassen, L. Heunks, B. Mourvillier, S. de Bruin, E. L. Lim, M. Piagnerelli, A. Roquilly, J. Lascarrou, M. Bauer, C. Schwebel, M. Brouwer, P. Tuinman, T. Welte, G. Marx, U. Jaschinski, A. Cornet, A. Grebenyuk, P. Jorens, S. Rückinger, K. Pilz, C. Thielert, D. Neukirchen, L. Ruckerbauer, B. Burnett, R. Guo, D. van de Beek, N. Riedemann","doi":"10.1183/13993003.congress-2022.4725","DOIUrl":"https://doi.org/10.1183/13993003.congress-2022.4725","url":null,"abstract":"","PeriodicalId":289883,"journal":{"name":"02.01 - Acute critical care","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116891893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-17DOI: 10.21203/rs.3.rs-1358518/v1
R. Erlebach, Lennart C. Wild, B. Seeliger, A. Rath, Rea Andermatt, D. Hofmaenner, J. Schewe, C. Ganter, C. Putensen, R. Natanov, C. Kühn, J. Bauersachs, T. Welte, M. Hoeper, P. Wendel-Garcia, S. David, C. Bode, K. Stahl, BonHanZA (Bonn-Hannover-Zurich-ARDS) study group BonHanZA ( group
Background: Veno-venous (VV) extracorporeal membrane oxygenation (ECMO) is increasingly used to support patients with severe acute respiratory distress syndrome (ARDS). In case of additional cardio-circulatory failure, some experienced centers upgrade the VV-ECMO with an additional arterial backflow cannula (termed VVA-ECMO). Here we analyzed short- and long-term outcome together with potential predictors of mortality. Methods: Retrospective analysis of outcome in VV ECMO patients with ARDS that received VVA upgrade due to acute cardio-circulatory deterioration from 2008-2021 at three ECMO referral centers.Results: We identified 73 VVA ECMO patients that either required an upgrade from VV to VVA (n=53) or were directly triple cannulated (n=20), most commonly for concomitant right-sided heart failure. Median (Interquartile Range) age was 49 (28-57) years and SOFA score was 14 (12-17) at VVA ECMO upgrade. ECMO support was required over 12 (6-22) days and ICU length of stay was 32 (16-46) days. Overall ICU mortality was 48% and hospital mortality 51%. Two additional patients died after hospital discharge while the remaining patients survived up to two years (with six patients being lost to follow-up). A SOFA score > 14 at the day of VVA upgrade and higher lactate level were independent predictors of mortality in the multivariate regression analysis.Conclusions: In this analysis, the use of VVA ECMO in patients with initial ARDS and concomitant cardiocirculatory failure was associated with a hospital survival of about 50%, and most of these patients survived up to 2 years. A SOFA score >14 and elevated lactate levels at the day of VVA upgrade predict unfavorable outcome.
{"title":"Outcomes of patients with initial acute respiratory failure on veno-venous extracorporeal membrane oxygenation (ECMO) requiring additional circulatory support by VVA ECMO","authors":"R. Erlebach, Lennart C. Wild, B. Seeliger, A. Rath, Rea Andermatt, D. Hofmaenner, J. Schewe, C. Ganter, C. Putensen, R. Natanov, C. Kühn, J. Bauersachs, T. Welte, M. Hoeper, P. Wendel-Garcia, S. David, C. Bode, K. Stahl, BonHanZA (Bonn-Hannover-Zurich-ARDS) study group BonHanZA ( group","doi":"10.21203/rs.3.rs-1358518/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-1358518/v1","url":null,"abstract":"\u0000 Background: Veno-venous (VV) extracorporeal membrane oxygenation (ECMO) is increasingly used to support patients with severe acute respiratory distress syndrome (ARDS). In case of additional cardio-circulatory failure, some experienced centers upgrade the VV-ECMO with an additional arterial backflow cannula (termed VVA-ECMO). Here we analyzed short- and long-term outcome together with potential predictors of mortality. Methods: Retrospective analysis of outcome in VV ECMO patients with ARDS that received VVA upgrade due to acute cardio-circulatory deterioration from 2008-2021 at three ECMO referral centers.Results: We identified 73 VVA ECMO patients that either required an upgrade from VV to VVA (n=53) or were directly triple cannulated (n=20), most commonly for concomitant right-sided heart failure. Median (Interquartile Range) age was 49 (28-57) years and SOFA score was 14 (12-17) at VVA ECMO upgrade. ECMO support was required over 12 (6-22) days and ICU length of stay was 32 (16-46) days. Overall ICU mortality was 48% and hospital mortality 51%. Two additional patients died after hospital discharge while the remaining patients survived up to two years (with six patients being lost to follow-up). A SOFA score > 14 at the day of VVA upgrade and higher lactate level were independent predictors of mortality in the multivariate regression analysis.Conclusions: In this analysis, the use of VVA ECMO in patients with initial ARDS and concomitant cardiocirculatory failure was associated with a hospital survival of about 50%, and most of these patients survived up to 2 years. A SOFA score >14 and elevated lactate levels at the day of VVA upgrade predict unfavorable outcome.","PeriodicalId":289883,"journal":{"name":"02.01 - Acute critical care","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127654744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}