Evidence map›Paper›PMID 34658412›Full record

ArticleThe journal of extra-corporeal technology2021

Extracorporeal Membrane Oxygenation Rescue for Severe Aspiration Pneumonitis in Two Patients after Roux-en-y Gastric Bypass Procedure.

Melissa M Felinski, Daniyal Abbas, Peter A Walker, John A Primomo, Tanyaradzwa M Kajese, Biswajit Kar, Igor D Gregoric, Igor Banjac, Lisa Janowiak, Sriram Nathan and 5 more

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PubMed Full text at PMC Publisher
In one paragraph

Article in The journal of extra-corporeal technology, 2021. 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
0.3field-weighted citation impact, top 39% 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, 2 citations in OpenAlex.

  1. Article
  2. ECMO Remains a Major Part of Our Scope of Practice.The journal of extra-corporeal technology · 2021
    Article
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

15 authors at 1 institution in 1 country.

Melissa M FelinskiDepartment of Surgery, McGovern Medical School,University of Texas Health Science Center at Houston (UTHealth), Houston, Texas; Department of Advanced Cardiopulmonary Therapies and Transplantation, McGovern Medical School,UTHealth, Houston, Texas; and Division of Critical Care Medicine, Department of Medicine, McGovern Medical School,UTHealth, Houston, Texas.
Daniyal AbbasDepartment of Surgery, McGovern Medical School,University of Texas Health Science Center at Houston (UTHealth), Houston, Texas; Department of Advanced Cardiopulmonary Therapies and Transplantation, McGovern Medical School,UTHealth, Houston, Texas; and Division of Critical Care Medicine, Department of Medicine, McGovern Medical School,UTHealth, Houston, Texas.
Peter A WalkerDepartment of Surgery, McGovern Medical School,University of Texas Health Science Center at Houston (UTHealth), Houston, Texas; Department of Advanced Cardiopulmonary Therapies and Transplantation, McGovern Medical School,UTHealth, Houston, Texas; and Division of Critical Care Medicine, Department of Medicine, McGovern Medical School,UTHealth, Houston, Texas.
John A PrimomoDepartment of Surgery, McGovern Medical School,University of Texas Health Science Center at Houston (UTHealth), Houston, Texas; Department of Advanced Cardiopulmonary Therapies and Transplantation, McGovern Medical School,UTHealth, Houston, Texas; and Division of Critical Care Medicine, Department of Medicine, McGovern Medical School,UTHealth, Houston, Texas.
Tanyaradzwa M KajeseDepartment of Surgery, McGovern Medical School,University of Texas Health Science Center at Houston (UTHealth), Houston, Texas; Department of Advanced Cardiopulmonary Therapies and Transplantation, McGovern Medical School,UTHealth, Houston, Texas; and Division of Critical Care Medicine, Department of Medicine, McGovern Medical School,UTHealth, Houston, Texas.
Biswajit KarDepartment of Surgery, McGovern Medical School,University of Texas Health Science Center at Houston (UTHealth), Houston, Texas; Department of Advanced Cardiopulmonary Therapies and Transplantation, McGovern Medical School,UTHealth, Houston, Texas; and Division of Critical Care Medicine, Department of Medicine, McGovern Medical School,UTHealth, Houston, Texas.
Igor D GregoricDepartment of Surgery, McGovern Medical School,University of Texas Health Science Center at Houston (UTHealth), Houston, Texas; Department of Advanced Cardiopulmonary Therapies and Transplantation, McGovern Medical School,UTHealth, Houston, Texas; and Division of Critical Care Medicine, Department of Medicine, McGovern Medical School,UTHealth, Houston, Texas.
Igor BanjacDepartment of Surgery, McGovern Medical School,University of Texas Health Science Center at Houston (UTHealth), Houston, Texas; Department of Advanced Cardiopulmonary Therapies and Transplantation, McGovern Medical School,UTHealth, Houston, Texas; and Division of Critical Care Medicine, Department of Medicine, McGovern Medical School,UTHealth, Houston, Texas.
Lisa JanowiakDepartment of Surgery, McGovern Medical School,University of Texas Health Science Center at Houston (UTHealth), Houston, Texas; Department of Advanced Cardiopulmonary Therapies and Transplantation, McGovern Medical School,UTHealth, Houston, Texas; and Division of Critical Care Medicine, Department of Medicine, McGovern Medical School,UTHealth, Houston, Texas.
Sriram NathanDepartment of Surgery, McGovern Medical School,University of Texas Health Science Center at Houston (UTHealth), Houston, Texas; Department of Advanced Cardiopulmonary Therapies and Transplantation, McGovern Medical School,UTHealth, Houston, Texas; and Division of Critical Care Medicine, Department of Medicine, McGovern Medical School,UTHealth, Houston, Texas.
Rahat HussainDepartment of Surgery, McGovern Medical School,University of Texas Health Science Center at Houston (UTHealth), Houston, Texas; Department of Advanced Cardiopulmonary Therapies and Transplantation, McGovern Medical School,UTHealth, Houston, Texas; and Division of Critical Care Medicine, Department of Medicine, McGovern Medical School,UTHealth, Houston, Texas.
Sheilendra S MehtaDepartment of Surgery, McGovern Medical School,University of Texas Health Science Center at Houston (UTHealth), Houston, Texas; Department of Advanced Cardiopulmonary Therapies and Transplantation, McGovern Medical School,UTHealth, Houston, Texas; and Division of Critical Care Medicine, Department of Medicine, McGovern Medical School,UTHealth, Houston, Texas.
Kulvinder S BajwaDepartment of Surgery, McGovern Medical School,University of Texas Health Science Center at Houston (UTHealth), Houston, Texas; Department of Advanced Cardiopulmonary Therapies and Transplantation, McGovern Medical School,UTHealth, Houston, Texas; and Division of Critical Care Medicine, Department of Medicine, McGovern Medical School,UTHealth, Houston, Texas.
Shinil K ShahDepartment of Surgery, McGovern Medical School,University of Texas Health Science Center at Houston (UTHealth), Houston, Texas; Department of Advanced Cardiopulmonary Therapies and Transplantation, McGovern Medical School,UTHealth, Houston, Texas; and Division of Critical Care Medicine, Department of Medicine, McGovern Medical School,UTHealth, Houston, Texas.
Bindu AkkantiDepartment of Surgery, McGovern Medical School,University of Texas Health Science Center at Houston (UTHealth), Houston, Texas; Department of Advanced Cardiopulmonary Therapies and Transplantation, McGovern Medical School,UTHealth, Houston, Texas; and Division of Critical Care Medicine, Department of Medicine, McGovern Medical School,UTHealth, Houston, Texas.
The University of Texas Health Science Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Roux-en-y gastric bypass (RYGB) is one of the most common weight loss surgical procedures performed in the United States. Early post-operative small bowel obstruction is a rare but potentially morbid, complication of RYGB. We report two patients who underwent RYGB and required subsequent treatment for a post-operative small bowel obstruction. Their post-operative course was complicated by severe aspiration pneumonitis leading to hypoxemic respiratory failure requiring rescue with femoral veno-venous extracorporeal membrane oxygenation (V-V ECMO). Both patients were successfully extubated, weaned off V-V ECMO support, and discharged to home. These cases highlight the potential role of V-V ECMO for patients who have undergone RYGB and develop severe aspiration pneumonitis. They also highlight the need for cautionary use of gastrografin in RYGB patients. Early engagement of a multidisciplinary team experienced with adult ECMO is vital for favorable patient outcomes.

Indexed as

Extracorporeal Membrane OxygenationGastric BypassPneumoniaRespiratory InsufficiencyAdultHumansPostoperative Complicationsaspiration pneumoniaextracorporeal membrane oxygenationgastrografinmorbid obesityroux-en-y gastric bypass

Identifiers

PMID34658412
PMCPMC8499636
OpenAlexW3206441494

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.