Chugging in patients on veno-venous extracorporeal membrane oxygenation: An under-recognized driver of intravenous fluid administration in patients with acute respiratory distress syndrome?

James M. Walter; Chitaru Kurihara; Thomas C. Corbridge; Ankit Bharat

doi:10.1016/j.hrtlng.2018.03.011

Chugging in patients on veno-venous extracorporeal membrane oxygenation: An under-recognized driver of intravenous fluid administration in patients with acute respiratory distress syndrome?

James M. Walter^*, Chitaru Kurihara, Thomas C. Corbridge, Ankit Bharat

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

11 Scopus citations

Abstract

Background: Veno-venous extracorporeal membrane oxygenation (VV-ECMO) is increasingly utilized in the management of severe acute respiratory distress syndrome (ARDS). Providers who care for patients on VV-ECMO should be familiar with common circuit complications. Objectives: To provide an example of a common complication, circuit “chugging,” and suggest a management algorithm which aims to avoid excessive fluid administration to patients with ARDS. Methods: We use a clinical case to illustrate chugging and discuss potential management strategies. Results: Our patient received frequent boluses of albumin for intermittent circuit chugging contributing to a net positive fluid balance of roughly 6 liters 4 days after cannulation. Conclusions: Chugging is a common complication for patients on VV ECMO. A thoughtful approach to management may help limit potentially harmful fluid administration for patients with ARDS.

Original language	English (US)
Pages (from-to)	398-400
Number of pages	3
Journal	Heart and Lung
Volume	47
Issue number	4
DOIs	https://doi.org/10.1016/j.hrtlng.2018.03.011
State	Published - Jul 1 2018

Funding

Funding: This work is supported by Northwestern University's Lung Sciences Training Program 5T32HL076139-14 (JMW), NIH grant HL125940 and matching funds from Thoracic Surgery Foundation, research grant from Society of University Surgeons and John H. Gibbon Jr. Research Scholarship from American Association of Thoracic Surgery (AB).

Keywords

Acute respiratory distress syndrome
Chugging
Extracorporeal membrane oxygenation

ASJC Scopus subject areas

Pulmonary and Respiratory Medicine
Critical Care and Intensive Care Medicine
Cardiology and Cardiovascular Medicine

Access to Document

10.1016/j.hrtlng.2018.03.011

Cite this

@article{125ea277a6a84dd48d737519d008211c,

title = "Chugging in patients on veno-venous extracorporeal membrane oxygenation: An under-recognized driver of intravenous fluid administration in patients with acute respiratory distress syndrome?",

abstract = "Background: Veno-venous extracorporeal membrane oxygenation (VV-ECMO) is increasingly utilized in the management of severe acute respiratory distress syndrome (ARDS). Providers who care for patients on VV-ECMO should be familiar with common circuit complications. Objectives: To provide an example of a common complication, circuit “chugging,” and suggest a management algorithm which aims to avoid excessive fluid administration to patients with ARDS. Methods: We use a clinical case to illustrate chugging and discuss potential management strategies. Results: Our patient received frequent boluses of albumin for intermittent circuit chugging contributing to a net positive fluid balance of roughly 6 liters 4 days after cannulation. Conclusions: Chugging is a common complication for patients on VV ECMO. A thoughtful approach to management may help limit potentially harmful fluid administration for patients with ARDS.",

keywords = "Acute respiratory distress syndrome, Chugging, Extracorporeal membrane oxygenation",

author = "Walter, \{James M.\} and Chitaru Kurihara and Corbridge, \{Thomas C.\} and Ankit Bharat",

note = "Publisher Copyright: {\textcopyright} 2018 Elsevier Inc.",

year = "2018",

month = jul,

day = "1",

doi = "10.1016/j.hrtlng.2018.03.011",

language = "English (US)",

volume = "47",

pages = "398--400",

journal = "Heart and Lung",

issn = "0147-9563",

publisher = "Elsevier Inc.",

number = "4",

}

Chugging in patients on veno-venous extracorporeal membrane oxygenation: An under-recognized driver of intravenous fluid administration in patients with acute respiratory distress syndrome? / Walter, James M.; Kurihara, Chitaru; Corbridge, Thomas C. et al.
In: Heart and Lung, Vol. 47, No. 4, 01.07.2018, p. 398-400.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Chugging in patients on veno-venous extracorporeal membrane oxygenation

T2 - An under-recognized driver of intravenous fluid administration in patients with acute respiratory distress syndrome?

AU - Walter, James M.

AU - Kurihara, Chitaru

AU - Corbridge, Thomas C.

AU - Bharat, Ankit

PY - 2018/7/1

Y1 - 2018/7/1

N2 - Background: Veno-venous extracorporeal membrane oxygenation (VV-ECMO) is increasingly utilized in the management of severe acute respiratory distress syndrome (ARDS). Providers who care for patients on VV-ECMO should be familiar with common circuit complications. Objectives: To provide an example of a common complication, circuit “chugging,” and suggest a management algorithm which aims to avoid excessive fluid administration to patients with ARDS. Methods: We use a clinical case to illustrate chugging and discuss potential management strategies. Results: Our patient received frequent boluses of albumin for intermittent circuit chugging contributing to a net positive fluid balance of roughly 6 liters 4 days after cannulation. Conclusions: Chugging is a common complication for patients on VV ECMO. A thoughtful approach to management may help limit potentially harmful fluid administration for patients with ARDS.

AB - Background: Veno-venous extracorporeal membrane oxygenation (VV-ECMO) is increasingly utilized in the management of severe acute respiratory distress syndrome (ARDS). Providers who care for patients on VV-ECMO should be familiar with common circuit complications. Objectives: To provide an example of a common complication, circuit “chugging,” and suggest a management algorithm which aims to avoid excessive fluid administration to patients with ARDS. Methods: We use a clinical case to illustrate chugging and discuss potential management strategies. Results: Our patient received frequent boluses of albumin for intermittent circuit chugging contributing to a net positive fluid balance of roughly 6 liters 4 days after cannulation. Conclusions: Chugging is a common complication for patients on VV ECMO. A thoughtful approach to management may help limit potentially harmful fluid administration for patients with ARDS.

KW - Acute respiratory distress syndrome

KW - Chugging

KW - Extracorporeal membrane oxygenation

UR - http://www.scopus.com/inward/record.url?scp=85045920252&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85045920252&partnerID=8YFLogxK

U2 - 10.1016/j.hrtlng.2018.03.011

DO - 10.1016/j.hrtlng.2018.03.011

M3 - Article

C2 - 29681395

AN - SCOPUS:85045920252

SN - 0147-9563

VL - 47

SP - 398

EP - 400

JO - Heart and Lung

JF - Heart and Lung

IS - 4

ER -

Chugging in patients on veno-venous extracorporeal membrane oxygenation: An under-recognized driver of intravenous fluid administration in patients with acute respiratory distress syndrome?

Abstract

Funding

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this