Impact of early PaCO2 and pH fluctuations on neurological outcomes in ARDS patients receiving VV ECMO: a retrospective cohort study from the CSECLS registry

Excessive reductions in PaCO<sub>2</sub> during the early initiation of VV ECMO, rather than pH elevation, were associated with an increased risk of neurological complications in ARDS patients. Close monitoring and management of PaCO<sub>2</sub> during ECMO initiation may mitigate this risk.

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Publication Details

Journal
Annals of Intensive Care
Published
2025-01-01
DOI
https://doi.org/10.1186/s13613-025-01570-9
Citations
2
Primary Topic
Mechanical Circulatory Support Devices
Type
article
Field-Weighted Citation Impact
1.35

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article

Impact of early PaCO2 and pH fluctuations on neurological outcomes in ARDS patients receiving VV ECMO: a retrospective cohort study from the CSECLS registry

Xinyi Luo, Zhenting Liang, Xiaotong Hou, Weibo Liang et al.
2 citations
Annals of Intensive Care
Mechanical Circulatory Support Devices
1.35
article

Impact of early PaCO2 and pH fluctuations on neurological outcomes in ARDS patients receiving VV ECMO: a retrospective cohort study from the CSECLS registry

Xinyi Luo, Zhenting Liang, Xiaotong Hou, Weibo Liang, Ya Wang, Yin Xi, Yonghao Xu, Zhenxing Liang, Chenglong Li, Xiaoqing Liu, Xiaoli Chen, Jie Zhang, Jiao Li, Yimin Li, Jinxiang Ma, Zhongtao Du, Weiqun He, Zhili Zeng, Haixiu Xie, Jinquan Xie
article en
2 citations

Abstract

Excessive reductions in PaCO<sub>2</sub> during the early initiation of VV ECMO, rather than pH elevation, were associated with an increased risk of neurological complications in ARDS patients. Close monitoring and management of PaCO<sub>2</sub> during ECMO initiation may mitigate this risk.

Annals of Intensive CareVol. 15(1)
Capital Medical University (CN), Guangzhou Experimental Station (CN), Second Affiliated Hospital of Guangzhou Medical University (CN), First Affiliated Hospital of Guangzhou Medical University (CN), Beijing Anzhen Hospital (CN), Guangzhou Medical University (CN)
Guangzhou Medical University, National Natural Science Foundation of China, Guangdong Medical Research Foundation, National Science and Technology Major Project
Openalex Percentile: Top 17%
Mechanical Circulatory Support Devices
1.35
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