Table 2.
Information of patient disease.
| Patient | Reasons for admission to the ICU | Basis disease | Conditions at ECMO initiation | Other main treatment |
|---|---|---|---|---|
| VA | ||||
| 1 | Eisenmenger syndrome | Congenital heart disease, PDA, thrombocytopenia | PASP > 150 mmHg, SBP 120 mmHg,PaO2/FiO2 = 55 with high-dose NE | PGI2, S-G, CRRT, Vasoconstrictor |
| 2 | Stanford type A aortic dissection | Circulation failure after Bentall and C-section surgery, increasing lac 17.4 mmol/L, PaO2/FiO2 = 54.7 with high-dose NE and inotropic drugs, hypoxia | CRRT, IABP, Vasoconstrictor | |
| 3 | Fulminant carditis, ROSC | Poor heart contractility after CPR, cardiac edema, EF 18%, increasing lac 14.1 mmol/L with high dose inotropic drugs and NE | CRRT, IABP, Vasoconstrictor | |
| 4 | Circulation failure after ROSC | Pulmonary hypertension detected in obstetric test | Consideration of massive PE, increasing lac 13.8 mmol/L with high-dose NE, hypoxia | CRRT, thrombolytic therapy, Vasoconstrictor |
| 5 | Severe metabolic acidosis intrauterine demise | Left femur fracture 3 months ago | Consideration of AFE, thrombocytopenia, certain low-risk PE, lac > 20 mmol/L with high-dose NE and steroid | CRRT, Vasoconstrictor |
| VAV | ||||
| 6 | Eisenmenger syndrome | Congenital heart disease, VSD | PASP > 150 mmHg, SBP 110–120 mmHg, PaO2/FiO2 = 41 with high-dose NE | PGI2, S-G, Vasoconstrictor |
| ECPR | ||||
| 7 | Induced abortion syndrome | Intrauterine demise, CA | Hardly maintain SBP > 35 mmHg even with NE and epinephrine I.V | Vasoconstrictor |
| 8 | Hemorrhage shock, intrauterine demise | Ruptured splenic artery aneurysm, CA | CA upon admission, no ROSC after 30 min, HB 64 g/L after blood transfusion, increasing lac 15.7 mmol/L | CRRT, uterine water bag oppression, Vasoconstrictor |
| VV | ||||
| 9 | Interstitial pneumonia, pneumocystis carinii infection | CADM | Misdiagnosed in local hospital, RP-ILD, PaO2/FiO2 = 53.1, pneumomediastinum | Prone position, low tidal volume ventilation, RM, NMB |
| 10 | Infection-induced ARDS | Cerebral hemorrhage | ARDS, PH 7.16, lac 9.3 mmol/L, PaO2/FiO2 = 45, sepsis, pneumomediastinum | Prone position, low tidal volume ventilation, RM, NMB |
PASP, pulmonary arterial systolic pressure; NE, norepinephrine; PGI2, prostaglandin-2; S-G, Swan-Ganz catheter; RM, recruitment maneuvers; NMB, neuromuscular blocking agent; ARDS, acute respiratory distress syndrome; CADM, clinical asymptomatic dermatomyositis; RP-ILD, rapidly progressive interstitial pneumonia; CA, cardiac arrest; ROSC, restoration of spontaneous circulation; IV, intravenous; HB, hemoglobin; CRRT, continuous renal replacement therapy; IABP, intra-aortic balloon pump; PDA, patent ductus arteriosus; VSD, ventricular septal defect; SBP, systolic blood pressure; EF, ejection fraction; CPR, cardiopulmonary resuscitation; C-section, Cesarean section; lac, lactic acid; AFE, amniotic fluid embolism; PE, pulmonary embolism.