Evidence map›Paper›PMID 35945343›Full record

ReviewIntensive care medicine2022

Respiratory indications for ECMO: focus on COVID-19.

Alexander Supady, Alain Combes, Ryan P Barbaro, Luigi Camporota, Rodrigo Diaz, Eddy Fan, Marco Giani, Carol Hodgson, Catherine L Hough, Christian Karagiannidis and 5 more

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Intensive care medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05948332 (Definition and Management of Right Ventricular Injury in Adult Patients Receiving Extracorporeal Membrane Oxygenation for Respiratory Support Using the Delphi Method), which is not on this map. Cited by 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 1 pooled it
7.8field-weighted citation impact, top 1% 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.

NCT05948332 completednot on this mapstarted 2023, after this paper: background citation

Definition and Management of Right Ventricular Injury in Adult Patients Receiving Extracorporeal Membrane Oxygenation for Respiratory Support Using the Delphi Method: A PRORVnet - Expert Consensus Statements

TypeobservationalSponsorPrashant NasaRan2023 to 2024Enrolled52ConditionsExtracorporeal Circulation, Complications, Extracorporeal Membrane Oxygenation Complication, Right Heart FailureArmsDelphi Rounds to generate consensus opinions among Experts
3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 1 synthesis or guideline pooled it, 98 citations in OpenAlex.

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  19. Improved Results Over Time With Bridge-to-Lung Transplantation: A 10-Year Experience of a Single High-Volume Center.Transplant international : official journal of the European Society for Organ Transplantation · 2025
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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 15 institutions in 10 countries.

Alexander SupadyInterdisciplinary Medical Intensive Care, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.ORCID http://orcid.org/0000-0003-4056-3652
Alain Combes *Sorbonne Université INSERM Unité Mixte de Recherche (UMRS) 1166, Institute of Cardiometabolism and Nutrition, Paris, France.
Ryan P BarbaroDivision of Pediatric Critical Care Medicine, University of Michigan, Ann Arbor, MI, USA.
Luigi CamporotaDepartment of Adult Critical Care, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Rodrigo DiazPrograma de Oxigenación Por Membrana Extracorpórea, Hospital San Juan de Dios Santiago, Santiago, Chile.
Eddy FanInterdepartmental Division of Critical Care Medicine, Department of Medicine, University of Toronto, Toronto, ON, Canada.
Marco GianiDepartment of Emergency and Intensive Care, School of Medicine and Surgery, University of Milano-Bicocca, ASST Monza, Monza, Italy.
Carol HodgsonAustralian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, VIC, Australia.
Catherine L HoughDepartment of Medicine, Oregon Health and Science University, Portland, OR, USA.
Christian KaragiannidisDepartment of Pneumology and Critical Care Medicine, ARDS and ECMO Centre, Cologne-Merheim Hospital, Kliniken der Stadt Köln gGmbH, Witten/Herdecke University Hospital, Cologne, Germany.
Matthias KochanekDepartment I of Internal Medicine, Faculty of Medicine and University Hospital Cologne, Center of Integrated Oncology Aachen Bonn Cologne Dusseldorf, University of Cologne, University Hospital Cologne, Cologne, Germany.
Ahmed A RabieCritical Care Department, King Saud Medical City, Riyadh, Saudi Arabia.
Jordi RieraDepartament de Medicina Intensiva, Hospital Universitari Vall d'Hebron, SODIR, Vall d'Hebron Institut de Recerca, Barcelona, Spain.
Arthur S Slutsky *Interdepartmental Division of Critical Care Medicine, Department of Medicine, University of Toronto, Toronto, ON, Canada.
Daniel Brodie *Columbia University College of Physicians and Surgeons/New York-Presbyterian Hospital, 622W168th St, PH 8 East, Room 101, New York, NY, 10032, USA. hdb5@cumc.columbia.edu.
Hospital San Juan de Dios · CLInserm · FRKing Saud Medical City · SAKing's College London · GBNewYork–Presbyterian Hospital · USOregon Health & Science University · USSt. Michael's Hospital · CAThe University of Melbourne · AUUniversity Health Network · CAUniversity of Cologne · DEUniversity of Freiburg · DEUniversity of Michigan · USUniversity of Milano-Bicocca · ITVall d'Hebron Institut de Recerca · ESWitten/Herdecke University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Extracorporeal membrane oxygenation (ECMO) is increasingly being used for patients with severe respiratory failure and has received particular attention during the coronavirus disease 2019 (COVID-19) pandemic. Evidence from two key randomized controlled trials, a subsequent post hoc Bayesian analysis, and meta-analyses support the interpretation of a benefit of ECMO in combination with ultra-lung-protective ventilation for select patients with very severe forms of acute respiratory distress syndrome (ARDS). During the pandemic, new evidence has emerged helping to better define the role of ECMO for patients with COVID-19. Results from large cohorts suggest outcomes during the first wave of the pandemic were similar to those in non-COVID-19 cohorts. As the pandemic continued, mortality of patients supported with ECMO has increased. However, the precise reasons for this observation are unclear. Known risk factors for mortality in COVID-19 and non-COVID-19 patients are higher patient age, concomitant extra-pulmonary organ failures or malignancies, prolonged mechanical ventilation before ECMO, less experienced treatment teams and lower ECMO caseloads in the treating center. ECMO is a high resource-dependent support option; therefore, it should be used judiciously, and its availability may need to be constrained when resources are scarce. More evidence from high-quality research is required to better define the role and limitations of ECMO in patients with severe COVID-19.

Indexed as

COVID-19Extracorporeal Membrane OxygenationRespiratory Distress SyndromeRespiratory InsufficiencyBayes TheoremHumansPandemicsAcute respiratory distress syndromeARDSCOVID-19ECMOExtracorporeal circulationExtracorporeal membrane oxygenationResource limitationsRespiratory failure

Identifiers

PMID35945343
PMCPMC9362963
OpenAlexW4291284671

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.