Evidence map›Paper›PMID 30642349›Full record

ArticleJournal of cardiothoracic surgery2019

Use veno-venous extra corporeal membrane oxygenation in elderly patients with post-cardiotomy hypoxia: the changing paradigm of respiratory support in adult respiratory distress syndrome.

Sara Volpi, Federico Sertic, Kamen Valchanov, Ravi De Silva

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of cardiothoracic surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Sara VolpiDepartment of Cardiothoracic Surgery, Royal Papworth Hospital, Cambridge, CB23 3RE, UK. doc.saravolpi@gmail.com.
Federico SerticDepartment of Cardiothoracic Surgery, Royal Papworth Hospital, Cambridge, CB23 3RE, UK.
Kamen ValchanovDepartment of Cardiothoracic Surgery, Royal Papworth Hospital, Cambridge, CB23 3RE, UK.
Ravi De SilvaDepartment of Cardiothoracic Surgery, Royal Papworth Hospital, Cambridge, CB23 3RE, UK.
Papworth Hospital · GBRoyal Victoria Hospital · GBUniversity of Ulster · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVeno-venous extracorporeal membrane oxygenation (VV-ECMO) support for ARDS treatment after cardiac surgery has progressed remarkably in the last 20 years. However, one of the limitations of a successful recover is age, being a powerful predictor of mortality. CASE PRESENTATION: In this case report we discuss a 78-year-old man who underwent aortic valve and aortic root replacement. The postoperative period was complicated by ARDS following aspiration pneumonia treated with VV-ECMO weaned after 6 days. At two-year follow up, the patient made an excellent recover, being the second oldest person to survive VV-ECMO following cardiac surgery in the world.

conclusionIn the literature there is no consensus regarding a specific age limit and results, in the use of ECMO in the elderly are scarce and inconsistent. We do not think advanced age is a contraindication to the use of ECMO.

Indexed as

Postoperative ComplicationsAdultAgedCardiac Surgical ProceduresExtracorporeal Membrane OxygenationHumansHypoxiaMaleRespiratory Distress SyndromeAcute respiratory distress syndrome (ARDS), cardiac surgeryVeno-venous extracorporeal membrane oxygenation (VV-ECMO)

Identifiers

PMID30642349
PMCPMC6332628
OpenAlexW2947220128

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.