Evidence map›Paper›PMID 37751972›Full record

ArticleBMJ case reports2023

Preoperative initiation of peripheral veno-arterial extracorporeal membrane oxygenation for a complex case of cardiac tamponade.

Catalin Iulian Efrimescu, Don M Walsh, Jehan Zeb Chughtai, Thomas P Wall

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ case reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Catalin Iulian EfrimescuDepartment of Anesthesiology & Perioperative Medicine, Mater Misericordiae University Hospital, Dublin, Ireland catalinefrimescu@mater.ie.ORCID http://orcid.org/0000-0002-5116-3438
Don M WalshDepartment of Anesthesiology & Perioperative Medicine, Mater Misericordiae University Hospital, Dublin, Ireland.
Jehan Zeb ChughtaiDepartment of Cardiothoracic Surgery and Heart and Lung Transplantation, Mater Misericordiae University Hospital, Dublin, Ireland.
Thomas P WallDepartment of Anesthesiology & Perioperative Medicine, Mater Misericordiae University Hospital, Dublin, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In this case report, we present an alternative approach to the anaesthetic management of patients presenting with delayed postoperative cardiac tamponade physiology. Given that pericardiocentesis was deemed unsafe, and a protracted surgical dissection was anticipated, peripheral veno-arterial extracorporeal membrane oxygenation (VA-ECMO) support was established prior to induction of anaesthesia to prevent catastrophic circulatory failure. To the best of our knowledge, this is the first reported case of planned preoperative commencement of peripheral VA-ECMO in a complex case of cardiac tamponade. We discuss the challenges associated with this case and the process for selecting this strategy. We also describe the role of transoesophageal echocardiography in planning the surgical approach. This report is completed by a discussion on the topic of delayed postoperative pericardial effusion and tamponade.

Indexed as

Cardiac TamponadeExtracorporeal Membrane OxygenationEchocardiography, TransesophagealHumansPericardial EffusionPostoperative ComplicationsPreoperative CareAnaesthesiaCardiothoracic surgeryPericardial diseaseUltrasonography

Identifiers

PMID37751972
PMCPMC10533732

What OpenQuestion holds

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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.