Incidence and Analysis of General Surgical Procedures in Adult Patients on Extracorporeal Membrane Oxygenation.

Publication/Presentation Date

10-2016

Abstract

Introduction

Extracorporeal membrane oxygenation (ECMO) is a life support device for patients with severe cardiac and/or respiratory failure. Use of ECMO is increasing in adults secondary to advances and familiarity with this technology. ECMO use may predispose patients to developing conditions that require either consultation with a general surgeon (GS) or a general surgical procedure (GSP). We aimed to evaluate the incidence and outcomes of adult ECMO patients who underwent GSP.

Methods

This was a single institution retrospective study of adult ECMO patients from 2012 to 2015. Outcomes were compared between patients who underwent GSP and those who did not. Bleeding complications for GSP patients were compared for those therapeutically anticoagulated vs not anticoagulated.

Results

Of the 115 patients, 54 (46.9%) required a GS; 42 (36.5%) required a GSP. No significant differences were observed in mortality (35.7% vs 46.6%; p=0.256) and ECMO-related complications (45.7% vs 32.5%; p=0.175). Patients with GSP had longer duration of ECMO (13 vs 5 days; p

Volume

223

Issue

4

First Page

S22

Last Page

S22

Disciplines

Medicine and Health Sciences | Other Medical Specialties | Surgery

Department(s)

Department of Surgery, Department of Surgery Faculty

Document Type

Article

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