| Management benefits and safety of computed tomography in patients undergoing extracorporeal membrane oxygenation therapy: experience of a single centre. | |
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MedLine Citation:
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PMID: 20933642 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIM: To evaluate the benefits and logistical safety of computed tomography (CT) imaging in patients undergoing extracorporeal membrane oxygenation (ECMO) therapy in a single institution. MATERIALS AND METHODS: Over a period of 25 months, 134 patients (80 neonates, 19 children, and 35 adults) underwent ECMO therapy at this institution. The imaging of these patients was reviewed to identify patients who had undergone CT imaging whilst on ECMO. Patient notes were retrospectively reviewed. CT findings and subsequent decisions were analysed to assess the benefit of CT imaging. Complications arising due to the logistics of performing the scan were analysed to assess the safety of performing CT in ECMO patients. RESULTS: Of 134 patients, 14 (10%) had a total of 15 CT examinations whilst undergoing ECMO therapy. Indications for CT included new neurology, increased respiratory demand, and increasing requirement for high ECMO flows. There were no major complications and two minor complications associated with the logistics of performing a CT examination on an ECMO patient. Significant findings resulted from 73.3% (11/15) of the CT examinations, and in all 15 examinations information was provided that was used in making further management decisions, including, in some cases, withdrawal of ECMO therapy. CONCLUSION: With an experienced team, CT imaging of patients on ECMO can be performed safely. CT provides valuable information for subsequent management of patients undergoing ECMO therapy. |
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Authors:
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S L Jepson; C Harvey; J J Entwisle; G J Peek |
Publication Detail:
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Type: Evaluation Studies; Journal Article Date: 2010-09-06 |
Journal Detail:
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Title: Clinical radiology Volume: 65 ISSN: 1365-229X ISO Abbreviation: Clin Radiol Publication Date: 2010 Nov |
Date Detail:
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Created Date: 2010-10-11 Completed Date: 2010-11-12 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 1306016 Medline TA: Clin Radiol Country: England |
Other Details:
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Languages: eng Pagination: 881-6 Citation Subset: IM |
Copyright Information:
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Copyright © 2010 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved. |
Affiliation:
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Department of Radiology, University Hospitals of Leicester, UK. steven.jepson@uhl-tr.nhs.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Child Child, Preschool Drainage Extracorporeal Membrane Oxygenation / methods* Female Humans Infant, Newborn Logistic Models Male Point-of-Care Systems Radiography, Abdominal / methods Radiography, Thoracic / methods Respiratory Insufficiency / radiography*, therapy Retrospective Studies Tomography, X-Ray Computed / adverse effects, methods* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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