Tracheostomy as a bridge to spontaneous breathing and awake‐ECMO in non‐transplant surgical patients

Aims The tracheostomy is a frequently used procedure for the respiratory weaning of ventilated patients allows sedation free ECLS use in awake patient. The aim of this study is to assess the possibility and highlight the benefits of lowering the impact of sedation in surgical non‐transplant patients...

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Bibliographic Details
Published in:European journal of heart failure 2017-05, Vol.19 (S2), p.120-123
Main Authors: Swol, J, Strauch, JT, Schildhauer, TA
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
awake ECMO
ECLS
Extracorporeal Membrane Oxygenation
Female
Follow-Up Studies
Humans
Male
Middle Aged
Respiration
Respiration, Artificial - methods
Respiratory Insufficiency - therapy
Retrospective Studies
spontaneous breathing
Time Factors
Tracheostomy
Tracheostomy - methods
Treatment Outcome
Ventilator Weaning - methods
Young Adult
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Summary:Aims The tracheostomy is a frequently used procedure for the respiratory weaning of ventilated patients allows sedation free ECLS use in awake patient. The aim of this study is to assess the possibility and highlight the benefits of lowering the impact of sedation in surgical non‐transplant patients on ECLS. The specific objective was to investigate the use of tracheostomy as a bridge to spontaneous breathing on ECLS. Methods and results Of the 95 patients, 65 patients received a tracheostomy, and 5 patients were admitted with a tracheostoma. One patient was cannulated without intubation, one is extubated during ECLS course after 48 hours. 4 patients were extubated after weaning and the removal of ECLS. 19 patients died before the indication to tracheostomy was given. Conclusion Tracheostomy can bridge to spontaneous breathing and awake‐ECMO in non‐transplant surgical patients. The “awake ECMO” strategy may avoid complications related to mechanical ventilation, sedation, and immobilization and provide comparable outcomes to other approaches for providing respiratory support.
ISSN:1388-9842
1879-0844
DOI:10.1002/ejhf.856