Oxigenação extracorpórea por membrana em cães sem auxílio circulatório

da Costa, Alessandra Castello; da Silveira, Lara Lages; da Silveira Ferreira, Felipp; Santos, Cíntia Lourenço; Abílio, Edmundo Jorge; Antunes, Fernanda; Albernaz, Antônio Peixoto; de Carvalho, Cláudio Baptista; dos Santos Ferreira, Giseli; Vale, Daniela Fantini; Machado, Josias Alves; Monteiro, Guilherme Alexandre Soares; de Abreu Oliveira, André Lacerda
May 2014
Ciência Rural;mai2014, Vol. 44 Issue 5, p897
Academic Journal
In humans, arteriovenous extracorporeal membrane oxygenation (AV-ECMO) is a life support technique capable to assume in part or totally lungs functions, when these are not able to promote appropriated hematosis. To know the viability of this method in dogs (Canis familiaris), the present study applied AVECMO in ten adult mixed-breed dogs, with expected three hours of duration to each experiment. In Group 1 (n=4), mechanical ventilation and dopamine continuous infusion were associated with the extracorporeal support. In Group 2 (n=6), any other measure of intensive care was used concomitantly AV-ECMO. Blood gas analysis and lactate levels were evaluated every 10 minutes and one hour, respectively, from arterial blood samples. Inotropic support improved the blood flow through the circuit promoting a better tissue perfusion with oxygenated blood, suggested by the lactate and mean arterial pressure levels measured. Mechanical ventilation used simultaneously with AV-ECMO was able to further improve levels of blood gases. Therefore, if applied along intensive care support, AV-ECMO is a viable technique for use in dogs with respiratory failure refractory to conventional treatments.


Related Articles

  • Extracorporeal Membrane Oxygenation Support in a Patient with Status Asthmaticus. Min Ho Ju; Jeong-Jun Park; Won Kyoung Jhang; Seong Jong Park; Hong Ju Shin // Korean Journal of Thoracic & Cardiovascular Surgery;2012, Vol. 45 Issue 3, p186 

    Status asthmaticus is a rare, fatal condition, especially in children. Sometimes respiratory support is insufficient with a mechanical ventilator or medical therapy for patients with status asthmaticus. In such situations, early extracorporeal membrane oxygenation application is a useful method...

  • Editor's Commentary.  // Respiratory Care;Feb2016, Vol. 61 Issue 2, pi 

    An introduction is presented in which the editor discusses reports within the issue on topics including a study of rescue strategies in 1,000 subjects with severe hypoxemic respiratory failure, pneumothorax pressures in a model of healthy piglets under general anesthesia and the impact of...

  • Ventilation Studies of Note.  // AARC Times;May2012, Vol. 36 Issue 5, p16 

    The article presents abstracts on mechanical ventilation which include the streamlined definition of ventilator-associated pneumonia (VAP) developed by Harvard University researchers, the association between longer conventional mechanical ventilator (CMV) breath inspiratory time and greater...

  • Mechanical circulatory support after heart transplantation†. Mihaljevic, Tomislav; Jarrett, Craig M.; Gonzalez-Stawinski, Gonzalo; Smedira, Nicholas G.; Nowicki, Edward R.; Thuita, Lucy; Mountis, Maria; Blackstone, Eugene H. // European Journal of Cardio-Thoracic Surgery;Jan2012, Vol. 41 Issue 1, p200 

    OBJECTIVE Mechanical circulatory support (MCS) may be used for severe graft failure after heart transplantation, but the degree to which it is lifesaving is uncertain. METHODS Between June 1990 and December 2009, 53 patients after 1417 heart transplants (3.7%) required post-transplant MCS for...

  • Single site venovenous extracorporeal membrane oxygenation as an alternative to invasive ventilation in post-pneumonectomy fistula with acute respiratory failure. Fica, Mauricio; Suárez, Francisco; Aparicio, Rodrigo; Suárez, Claudio // European Journal of Cardio-Thoracic Surgery;Apr2012, Vol. 41 Issue 4, p950 

    We report the use of venovenous extracorporeal membrane oxygenation with a single dual lumen cannula in a 42-year-old patient suffering from a post-pneumonectomy fistula and severe respiratory insufficiency, avoiding the classical approach of invasive mechanical ventilation. We discussed the...

  • Respiratory Failure Secondary to Human Metapneumovirus Requiring Extracorporeal Membrane Oxygenation in a 32-Month-Old Child. Gupta, Abha; Bembea, Melania; Brown, Anna; Robertson, Courtney; Romer, Lewis; Cohn, Ronald D. // Case Reports in Pediatrics;2012, p1 

    Human metapneumovirus (HMPV) is a common virus that can cause respiratory problems ranging from mild upper respiratory tract disease to respiratory failure requiring mechanical support. Here, we report a case of a 32-month-old male with a previous history of asthma, who developed respiratory...

  • Risk of Need for Extracorporeal Membrane Oxygenation Support in Neonates with Congenital Diaphragmatic Hernia Treated with Inhaled Nitric Oxide. Sebald, Matthew; Friedlich, Philippe; Burns, Cartland; Stein, James; Noori, Shahab; Ramanathan, Rangasamy; Seri, Istvan // Journal of Perinatology;Mar2004, Vol. 24 Issue 3, p143 

    BACKGROUND:: Congenital diaphragmatic hernia (CDH) is often associated with severe pulmonary hypoplasia resulting in hypoxemic respiratory failure unresponsive to advanced medical management including the use of inhaled nitric oxide (iNO). For these patients, extracorporeal membrane oxygenation...

  • Is it possible to predict outcome in pulmonary ECMO? Analysis of pre-operative risk factors. Wagner, K.; Risnes, I.; Abdelnoor, M.; Karlsen, H. M.; Svennevig, J. L. // Perfusion;Mar2008, Vol. 23 Issue 2, p95 

    Serious pulmonary failure may be treated with extracorporeal membrane oxygenation (ECMO) when other treatment has failed. The aim of this study was to analyze preoperative risk factors of early mortality in patients who underwent either veno-arterial (VA) ECMO or venovenous (VV) ECMO for...

  • Mobilization of patients on venovenous extracorporeal membrane oxygenation support using an ECMO helmet. Pruijsten, Ralph; Thiel, Robert; Hool, Siep; Saeijs, Marije; Verbiest, Marijke; Miranda, Dinis // Intensive Care Medicine;Oct2014, Vol. 40 Issue 10, p1595 

    The article discusses a study that examined the mobilization of patients during venovenous extracorporeal membrane oxygenation (vvECMO). Topics discussed include the use of vvECMO in patients with acute severe respiratory failure, potential side effects of mobilization during ECMO therapy,...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics