Albumin fluid resuscitation in patients on venoarterial extracorporeal membrane oxygenation (VA-ECMO) therapy is associated with improved survival
Venoarterial extracorporeal membrane oxygenation (VA-ECMO) supplies blood flow and perfusion pressure to patients in cardiogenic shock or in extracorporeal cardiopulmonary resuscitation (eCPR). Shock , resuscitation  and the extracorporeal circuit  may trigger capillary leakage and intravascular volume depletion. VA-ECMO drainage, however, is dependent on venous return and stressed vascular volume. Therefore, substantial amounts of crystalloid fluids are administered in VA-ECMO which negatively impact survival . Data suggest potential benefit of albumin fluid resuscitation in septic shock . The optimal fluid resuscitation strategy in VA-ECMO patients, however, is unclear. Thus, the aim of the present study was to evaluate albumin versus crystalloid fluid resuscitation in VA-ECMO.
We performed a retrospective registry study including cases from October 2010 to October 2017 at a single medical intensive care unit. Only VA-ECMO patients with a positive fluid...
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Conflicts of interest
No author reports any conflict of interest concerning this publication.
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