The data that support the findings of this study are available from Chang Gung Memorial Hospital but restrictions apply to the availability of these data, which were used under license for the current study, and so are not publicly available. Data are however available from the authors upon reasonable request and with permission of Chang Gung Memorial Hospital.
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ECMO is also indicated in hypercapneic respiratory failure secondary to status asthmaticus and exacerbation of chronic obstructive pulmonary disease, permissive hypercapnea with a Pa co 2 greater than 80 mm Hg, or inability to achieve safe inflation pressures with plateau pressures of 30 cm H 2 O or higher, refractory to conventional therapy. The aim of VV-ECMO in adult patients is to provide oxygenation and rest the lungs, decreasing the insult caused by mechanical ventilation. Laparotomy : Ligation of right hepatic artery and right portal vein with perihepatic packing Dead 24 11 57 Traffic accident car 75 52 49 TAE for retroperitoneal hemorrhage, external fixation of pelvic fracture.
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Venoarterial ECMO provides complete or partial support to the heart and lungs and is the configuration of choice in patients with isolated cardiac failure that is refractory to other treatments. A recent review of percutaneous circulatory assist devices, including ECMO, emphasizes a potential role in high-risk coronary interventions while cautioning that current American and European guidelines indicate that strong and convincing evidence is limited.