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Kim, D.W., Yeo, H.J., Yoon, S.H., Lee, S.E., Lee, S.J., Cho, W.H., Jeon, D.S., Kim, Y.S., Son, B.S. and Kim, D.H. (2016) Impact of Bloodstream Infections on Catheter Colonization during Extracorporeal Membrane Oxygenation. Journal of Artificial Organs, 19, 128-133.
https://link.springer.com/article/10.1007/s10047-015-0882-5
https://doi.org/10.1007/s10047-015-0882-5

has been cited by the following article:

• TITLE: Outcomes of Extracorporeal Membrane Oxygenation in Blood Culture Positive Septic Patients

  AUTHORS: Cameron Blazoski, Qiong Yang, Hitoshi Hirose

  KEYWORDS: Extracorporeal Membrane Oxygenation, Shock, Sepsis

  JOURNAL NAME: World Journal of Cardiovascular Surgery, Vol.10 No.8, August 31, 2020

  ABSTRACT: INTRODUCTION: Extracorporeal membrane oxygenation (ECMO) is commonly used for refractory cardiac or respiratory failure. There are reported cases of successful use of ECMO in patients with septic shock; however, there is a lack of evidence to prove its overall efficacy. Thus, we conducted this study to analyze the relationship between sepsis and ECMO in our own patients. METHODS: 305 patients who were placed on ECMO between 2010 and 2020 were identified within an IRB-approved database. Their clinical outcomes were analyzed with a specific focus on patients who were septic before or during ECMO, defined as a positive blood culture. Group S was composed of patients with a positive blood culture before or during ECMO, while Group N was composed of all patients without a positive blood culture before or during ECMO. The primary outcome compared between groups was ECMO survival rate. RESULTS: Among the 305 patients on ECMO, 58 (19%) were in Group S and 247 (81%) were in Group N. ECMO survival rates were 45% in Group S and 62% in Group N (p = 0.017). CONCLUSION: Of our 305 patients, patients who were septic upon ECMO placement or those who developed sepsis during ECMO had worse ECMO survival rates than non-septic patients. Ultimately, patients who are septic or have a high probability of becoming septic may not be indicated for ECMO placement, and cautious administration of ECMO to these patients may be necessary.