Mechanical ventilation management during extracorporeal membrane oxygenation for acute respiratory distress syndrome: a retrospective international multicenter study.
Identifieur interne : 002970 ( PubMed/Checkpoint ); précédent : 002969; suivant : 002971Mechanical ventilation management during extracorporeal membrane oxygenation for acute respiratory distress syndrome: a retrospective international multicenter study.
Auteurs : Matthieu Schmidt [Australie] ; Claire Stewart ; Michael Bailey ; Ania Nieszkowska ; Joshua Kelly ; Lorna Murphy ; David Pilcher ; D James Cooper ; Carlos Scheinkestel ; Vincent Pellegrino ; Paul Forrest ; Alain Combes ; Carol HodgsonSource :
- Critical care medicine [ 1530-0293 ] ; 2015.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Facteurs socioéconomiques, Femelle, Humains, Indice Apache, Modèles de hasards proportionnels, Mortalité hospitalière, Mâle, Oxygénation extracorporelle sur oxygénateur à membrane (), Scores de dysfonction d'organes, Syndrome de détresse respiratoire de l'adulte (), Syndrome de détresse respiratoire de l'adulte (mortalité), Unités de soins intensifs, Ventilation artificielle (), Ventilation à pression positive, Volume courant, Études rétrospectives.
- MESH :
- mortalité : Syndrome de détresse respiratoire de l'adulte.
- Adulte, Adulte d'âge moyen, Facteurs socioéconomiques, Femelle, Humains, Indice Apache, Modèles de hasards proportionnels, Mortalité hospitalière, Mâle, Oxygénation extracorporelle sur oxygénateur à membrane, Scores de dysfonction d'organes, Syndrome de détresse respiratoire de l'adulte, Unités de soins intensifs, Ventilation artificielle, Ventilation à pression positive, Volume courant, Études rétrospectives.
English descriptors
- KwdEn :
- APACHE, Adult, Extracorporeal Membrane Oxygenation (methods), Female, Hospital Mortality, Humans, Intensive Care Units, Male, Middle Aged, Organ Dysfunction Scores, Positive-Pressure Respiration, Proportional Hazards Models, Respiration, Artificial (methods), Respiratory Distress Syndrome, Adult (mortality), Respiratory Distress Syndrome, Adult (therapy), Retrospective Studies, Socioeconomic Factors, Tidal Volume.
- MESH :
- methods : Extracorporeal Membrane Oxygenation, Respiration, Artificial.
- mortality : Respiratory Distress Syndrome, Adult.
- therapy : Respiratory Distress Syndrome, Adult.
- APACHE, Adult, Female, Hospital Mortality, Humans, Intensive Care Units, Male, Middle Aged, Organ Dysfunction Scores, Positive-Pressure Respiration, Proportional Hazards Models, Retrospective Studies, Socioeconomic Factors, Tidal Volume.
Abstract
To describe mechanical ventilation settings in adult patients treated for an acute respiratory distress syndrome with extracorporeal membrane oxygenation and assess the potential impact of mechanical ventilation settings on ICU mortality.
DOI: 10.1097/CCM.0000000000000753
PubMed: 25565460
Affiliations:
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Anaesthetics, Royal Prince Alfred Hospital, Sydney, NSW, Australia. 4Sydney University Medical School, The University of Sydney, Sydney, NSW, Australia. 5Intensive Care Department, Alfred Hospital, Melbourne, VIC, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>1Department of Epidemiology and Preventive Medicine, Australian and New Zealand Intensive Care Research Centre, School of Public Health, Monash University, Melbourne, VIC, Australia. 2Medical-Surgical Intensive Care Unit, iCAN, Institute of Cardiometabolism and Nutrition, Hôpital de la Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Paris, France. 3Department of Anaesthetics, Royal Prince Alfred Hospital, Sydney, NSW, Australia. 4Sydney University Medical School, The University of Sydney, Sydney, NSW, Australia. 5Intensive Care Department, Alfred Hospital, Melbourne, VIC</wicri:regionArea><wicri:noRegion>VIC</wicri:noRegion></affiliation></author><author><name sortKey="Stewart, 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xml:lang="en"><term>APACHE</term><term>Adult</term><term>Extracorporeal Membrane Oxygenation (methods)</term><term>Female</term><term>Hospital Mortality</term><term>Humans</term><term>Intensive Care Units</term><term>Male</term><term>Middle Aged</term><term>Organ Dysfunction Scores</term><term>Positive-Pressure Respiration</term><term>Proportional Hazards Models</term><term>Respiration, Artificial (methods)</term><term>Respiratory Distress Syndrome, Adult (mortality)</term><term>Respiratory Distress Syndrome, Adult (therapy)</term><term>Retrospective Studies</term><term>Socioeconomic Factors</term><term>Tidal Volume</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Indice Apache</term><term>Modèles de hasards proportionnels</term><term>Mortalité hospitalière</term><term>Mâle</term><term>Oxygénation extracorporelle sur oxygénateur à membrane ()</term><term>Scores de dysfonction d'organes</term><term>Syndrome de détresse respiratoire de l'adulte ()</term><term>Syndrome de détresse respiratoire de l'adulte (mortalité)</term><term>Unités de soins intensifs</term><term>Ventilation artificielle ()</term><term>Ventilation à pression positive</term><term>Volume courant</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Extracorporeal Membrane Oxygenation</term><term>Respiration, Artificial</term></keywords><keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Respiratory Distress Syndrome, Adult</term></keywords><keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Syndrome de détresse respiratoire de l'adulte</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Respiratory Distress Syndrome, Adult</term></keywords><keywords scheme="MESH" xml:lang="en"><term>APACHE</term><term>Adult</term><term>Female</term><term>Hospital Mortality</term><term>Humans</term><term>Intensive Care Units</term><term>Male</term><term>Middle Aged</term><term>Organ Dysfunction Scores</term><term>Positive-Pressure Respiration</term><term>Proportional Hazards Models</term><term>Retrospective Studies</term><term>Socioeconomic Factors</term><term>Tidal Volume</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Indice Apache</term><term>Modèles de hasards proportionnels</term><term>Mortalité hospitalière</term><term>Mâle</term><term>Oxygénation extracorporelle sur oxygénateur à membrane</term><term>Scores de dysfonction d'organes</term><term>Syndrome de détresse respiratoire de l'adulte</term><term>Unités de soins intensifs</term><term>Ventilation artificielle</term><term>Ventilation à pression positive</term><term>Volume courant</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To describe mechanical ventilation settings in adult patients treated for an acute respiratory distress syndrome with extracorporeal membrane oxygenation and assess the potential impact of mechanical ventilation settings on ICU mortality.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25565460</PMID><DateCreated><Year>2015</Year><Month>02</Month><Day>21</Day></DateCreated><DateCompleted><Year>2015</Year><Month>04</Month><Day>20</Day></DateCompleted><DateRevised><Year>2015</Year><Month>02</Month><Day>21</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1530-0293</ISSN><JournalIssue CitedMedium="Internet"><Volume>43</Volume><Issue>3</Issue><PubDate><Year>2015</Year><Month>Mar</Month></PubDate></JournalIssue><Title>Critical care medicine</Title><ISOAbbreviation>Crit. Care Med.</ISOAbbreviation></Journal><ArticleTitle>Mechanical ventilation management during extracorporeal membrane oxygenation for acute respiratory distress syndrome: a retrospective international multicenter study.</ArticleTitle><Pagination><MedlinePgn>654-64</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/CCM.0000000000000753</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To describe mechanical ventilation settings in adult patients treated for an acute respiratory distress syndrome with extracorporeal membrane oxygenation and assess the potential impact of mechanical ventilation settings on ICU mortality.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">Retrospective observational study.</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">Three international high-volume extracorporeal membrane oxygenation centers.</AbstractText><AbstractText Label="PATIENTS" NlmCategory="METHODS">A total of 168 patients treated with extracorporeal membrane oxygenation for severe acute respiratory distress syndrome from January 2007 to January 2013.</AbstractText><AbstractText Label="INTERVENTIONS" NlmCategory="METHODS">We analyzed the association between mechanical ventilation settings (i.e. plateau pressure, tidal volume, and positive end-expiratory pressure) on ICU mortality using multivariable logistic regression model and Cox-proportional hazards model.</AbstractText><AbstractText Label="MEASUREMENT AND MAIN RESULTS" NlmCategory="RESULTS">We obtained detailed demographic, clinical, daily mechanical ventilation settings and ICU outcome data. One hundred sixty-eight patients (41 ± 14 years old; PaO2/FIO2 67 ± 19 mm Hg) fulfilled our inclusion criteria. Median duration of extracorporeal membrane oxygenation and ICU stay were 10 days (6-18 d) and 28 days (16-42 d), respectively. Lower positive end-expiratory pressure levels and significantly lower plateau pressures during extracorporeal membrane oxygenation were used in the French center than in both Australian centers (23.9 ± 1.4 vs 27.6 ± 3.7 and 27.8 ± 3.6; p < 0.0001). Overall ICU mortality was 29%. Lower positive end-expiratory pressure levels (until day 7) and lower delivered tidal volume after 3 days on extracorporeal membrane oxygenation were associated with significantly higher mortality (p < 0.05). In multivariate analysis, higher positive end-expiratory pressure levels during the first 3 days of extracorporeal membrane oxygenation support were associated with lower mortality (odds ratio, 0.75; 95% CI, 0.64-0.88; p = 0.0006). Other independent predictors of ICU mortality included time between ICU admission and extracorporeal membrane oxygenation initiation, plateau pressure greater than 30 cm H2O before extracorporeal membrane oxygenation initiation, and lactate level on day 3 of extracorporeal membrane oxygenation support.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Protective mechanical ventilation strategies were routinely used in high-volume extracorporeal membrane oxygenation centers. However, higher positive end-expiratory pressure levels during the first 3 days on extracorporeal membrane oxygenation support were independently associated with improved survival. Further prospective trials on the optimal mechanical ventilation strategy during extracorporeal membrane oxygenation support are warranted.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Schmidt</LastName><ForeName>Matthieu</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>1Department of Epidemiology and Preventive Medicine, Australian and New Zealand Intensive Care Research Centre, School of Public Health, Monash University, Melbourne, VIC, Australia. 2Medical-Surgical Intensive Care Unit, iCAN, Institute of Cardiometabolism and Nutrition, Hôpital de la Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Paris, France. 3Department of Anaesthetics, Royal Prince Alfred Hospital, Sydney, NSW, Australia. 4Sydney University Medical School, The University of Sydney, Sydney, NSW, Australia. 5Intensive Care Department, Alfred Hospital, Melbourne, VIC, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Stewart</LastName><ForeName>Claire</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Bailey</LastName><ForeName>Michael</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Nieszkowska</LastName><ForeName>Ania</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Kelly</LastName><ForeName>Joshua</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Murphy</LastName><ForeName>Lorna</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Pilcher</LastName><ForeName>David</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Cooper</LastName><ForeName>D James</ForeName><Initials>DJ</Initials></Author><Author ValidYN="Y"><LastName>Scheinkestel</LastName><ForeName>Carlos</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Pellegrino</LastName><ForeName>Vincent</ForeName><Initials>V</Initials></Author><Author ValidYN="Y"><LastName>Forrest</LastName><ForeName>Paul</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Combes</LastName><ForeName>Alain</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Hodgson</LastName><ForeName>Carol</ForeName><Initials>C</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016448">Multicenter Study</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Crit Care Med</MedlineTA><NlmUniqueID>0355501</NlmUniqueID><ISSNLinking>0090-3493</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Crit Care Med. 2015 Mar;43(3):719-20</RefSource><PMID Version="1">25700065</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D018806" MajorTopicYN="N">APACHE</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015199" MajorTopicYN="N">Extracorporeal Membrane Oxygenation</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017052" MajorTopicYN="N">Hospital Mortality</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007362" MajorTopicYN="Y">Intensive Care Units</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D063305" MajorTopicYN="N">Organ Dysfunction Scores</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011175" MajorTopicYN="N">Positive-Pressure Respiration</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016016" MajorTopicYN="N">Proportional Hazards Models</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012121" MajorTopicYN="N">Respiration, Artificial</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012128" MajorTopicYN="N">Respiratory Distress Syndrome, Adult</DescriptorName><QualifierName UI="Q000401" MajorTopicYN="Y">mortality</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012959" MajorTopicYN="N">Socioeconomic Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013990" MajorTopicYN="N">Tidal Volume</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>1</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>1</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>4</Month><Day>22</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25565460</ArticleId><ArticleId IdType="doi">10.1097/CCM.0000000000000753</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Australie</li></country></list><tree><noCountry><name sortKey="Bailey, Michael" sort="Bailey, Michael" uniqKey="Bailey M" first="Michael" last="Bailey">Michael Bailey</name><name sortKey="Combes, Alain" sort="Combes, Alain" uniqKey="Combes A" first="Alain" last="Combes">Alain Combes</name><name sortKey="Cooper, D James" sort="Cooper, D James" uniqKey="Cooper D" first="D James" last="Cooper">D James Cooper</name><name sortKey="Forrest, Paul" sort="Forrest, Paul" uniqKey="Forrest P" first="Paul" last="Forrest">Paul Forrest</name><name sortKey="Hodgson, Carol" sort="Hodgson, Carol" uniqKey="Hodgson C" first="Carol" last="Hodgson">Carol Hodgson</name><name sortKey="Kelly, Joshua" sort="Kelly, Joshua" uniqKey="Kelly J" first="Joshua" last="Kelly">Joshua Kelly</name><name sortKey="Murphy, Lorna" sort="Murphy, Lorna" uniqKey="Murphy L" first="Lorna" last="Murphy">Lorna Murphy</name><name sortKey="Nieszkowska, Ania" sort="Nieszkowska, Ania" uniqKey="Nieszkowska A" first="Ania" last="Nieszkowska">Ania Nieszkowska</name><name sortKey="Pellegrino, Vincent" sort="Pellegrino, Vincent" uniqKey="Pellegrino V" first="Vincent" last="Pellegrino">Vincent Pellegrino</name><name sortKey="Pilcher, David" sort="Pilcher, David" uniqKey="Pilcher D" first="David" last="Pilcher">David Pilcher</name><name sortKey="Scheinkestel, Carlos" sort="Scheinkestel, Carlos" uniqKey="Scheinkestel C" first="Carlos" last="Scheinkestel">Carlos Scheinkestel</name><name sortKey="Stewart, Claire" sort="Stewart, Claire" uniqKey="Stewart C" first="Claire" last="Stewart">Claire Stewart</name></noCountry><country name="Australie"><noRegion><name sortKey="Schmidt, Matthieu" sort="Schmidt, Matthieu" uniqKey="Schmidt M" first="Matthieu" last="Schmidt">Matthieu Schmidt</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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