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  1. Article ; Online: POCUS for Diastolic Dysfunction: A Review of the Literature.

    King, Samantha A / Salerno, Alexis / Downing, Jessica V / Wynne, Zachary R / Parker, Jordan T / Miller, Taylor E / Tewelde, Semhar Z

    POCUS journal

    2023  Volume 8, Issue 1, Page(s) 88–92

    Abstract: Emergency and critical care physicians frequently encounter patients presenting with dyspnea and normal left ventricular systolic function who may benefit from early diastolic evaluation to determine acute patient management. The current American Society ...

    Abstract Emergency and critical care physicians frequently encounter patients presenting with dyspnea and normal left ventricular systolic function who may benefit from early diastolic evaluation to determine acute patient management. The current American Society of Echocardiography Guidelines approach to diastolic evaluation is often impractical for point of care ultrasound (POCUS) evaluation, and few studies have evaluated the potential use of a simplified approach. This article reviews the literature on the use of a simplified diastolic evaluation to assist in determining acute patient management.
    Language English
    Publishing date 2023-04-26
    Publishing country Canada
    Document type Journal Article ; Review
    ISSN 2369-8543
    ISSN (online) 2369-8543
    DOI 10.24908/pocus.v8i1.15803
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Venoarterial Extracorporeal Membrane Oxygenation With or Without Advanced Intervention for Massive Pulmonary Embolism.

    Cardona, Stephanie / Downing, Jessica V / Witting, Michael D / Haase, Daniel J / Powell, Elizabeth K / Dahi, Siamak / Pasrija, Chetan / Tran, Quincy K

    Perfusion

    2023  Volume 39, Issue 4, Page(s) 665–674

    Abstract: Introduction: Massive pulmonary embolism (MPE) is a rare but highly fatal condition. Our study's objective was to evaluate the association between advanced interventions and survival among patients with MPE treated with venoarterial extracorporeal ... ...

    Abstract Introduction: Massive pulmonary embolism (MPE) is a rare but highly fatal condition. Our study's objective was to evaluate the association between advanced interventions and survival among patients with MPE treated with venoarterial extracorporeal membrane oxygenation (VA-ECMO).
    Methods: This is a retrospective review of the Extracorporeal Life Support Organization (ELSO) registry data. We included adult patients with MPE who were treated with VA-ECMO during 2010-2020. Our Primary outcome was survival to hospital discharge; secondary outcomes were ECMO duration among survivors and rates of ECMO-related complications. Clinical variables were compared using the Pearson chi-square and Kruskal-Wallis H tests.
    Results: We included 802 patients; 80 (10%) received SPE and 18 (2%) received CDT. Overall, 426 (53%) survived to discharge; survival was not significantly different among those treated with SPE or CDT on VA-ECMO (70%) versus VA-ECMO alone (52%) or SPE or CDT before VA-ECMO (52%). Multivariable regression found a trend towards increased survival among those treated with SPE or CDT while on ECMO (AOR 1.8, 95% CI 0.9-3.6), but no significant correlation. There was no association between advanced interventions and ECMO duration among survivors, or rates of ECMO-related complications.
    Conclusion: Our study found no difference in survival in patients with MPE who received advanced interventions prior to ECMO, and a slight non-significant benefit in those who received advanced interventions while on ECMO.
    MeSH term(s) Humans ; Extracorporeal Membrane Oxygenation/methods ; Pulmonary Embolism/therapy ; Pulmonary Embolism/mortality ; Male ; Female ; Middle Aged ; Retrospective Studies ; Adult ; Aged
    Language English
    Publishing date 2023-05-28
    Publishing country England
    Document type Journal Article
    ZDB-ID 645038-6
    ISSN 1477-111X ; 0267-6591
    ISSN (online) 1477-111X
    ISSN 0267-6591
    DOI 10.1177/02676591231177909
    Database MEDical Literature Analysis and Retrieval System OnLINE

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