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 | |
| State | Published - Jul 1 2018 |
Fingerprint
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
Cite this
}
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 McCauley; Kurihara, Chitaru; Corbridge, Thomas C; Bharat, Ankit.
In: Heart and Lung, Vol. 47, No. 4, 01.07.2018, p. 398-400.Research output: Contribution to journal › Article
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 McCauley
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
VL - 47
SP - 398
EP - 400
JO - Heart and Lung: Journal of Acute and Critical Care
JF - Heart and Lung: Journal of Acute and Critical Care
SN - 0147-9563
IS - 4
ER -