Complications at the cannulation site in patients with arteriovenous extracorporeal membrane oxygenation in an institution in Medellín
DOI:
https://doi.org/10.21615/cesenferm.6441Keywords:
ECMO, skin, wound healing, hypertensionAbstract
ECMO therapy support is a technique used to support critically ill patients. It has been developed over the years. At present, the most frequent complications that may occur are known in detail, but publications focused on complications in the skin related to the cannulation site are necessary. Objective: to identify clinical, personal, and hospital stay factors related to the development of skin complications in patients supported with arteriovenous ECMO with femoral cannulation to propose preventive actions in management. Methodology: a retrospective, comparative observational study of 51 records of medical records of patients undergoing support with arteriovenous ECMO therapy with femoral cannulation in a highly complex institution in the city of Medellín between August 2015 and January 2020 Demographic variables, comorbidities, use of medications, time with support and days of hospital stay were analyzed with the approval of the institution's ethics committee. Results: complications in 20% of patients, infection being the most frequent, with factors related to its appearances such as longer time elapsed with support, arterial hypertension, and use of immunosuppressants, which generated an increase in the days of hospital stay. Conclusion: Infection at the cannulation site was the most frequent complication, and it is related to older age, hypertension, administration of immunosuppressants, and longer support time with therapy.
Downloads
References
Patroniti N. Extracorporeal Support of Gas Exchange [Internet]. ClinicalKey. 2021 [citado 15 abril 2021]. Disponible en: https://www-clinicalkey-es.ces.idm.oclc.org/#!/content/book/3-s2.0-B9781455733835001032?scrollTo=%23hl0000742.
Le Gall A, Follin A, Cholley B, Mantz J, Aissaoui N, Pirracchio R. «Veno-Arterial-ECMO in the Intensive Care Unit: From Technical Aspects to Clinical Practice [Internet]. ScienceDirect. 2018 [citado 29 octubre 2021]. Disponible en: https://doi.org/10.1016/j.accpm.2017.08.007.
Lafçı G, Baran A, Ümit A, Faruk O. Use of Extracorporeal Membrane Oxygenation in Adults Support of Gas Exchange [Internet]. heartlungcirc.org. 2013 [citado 18 abril 2021]. Disponible en: https://doi.org/10.1016/j.hlc.2013.08.009.
Chilcott M. Wound Dressing [Internet]. ClinicalKey. 2020 [citado 2 septiembre 2021]. Disponible en: https://clinicalkey.cesproxy.elogim.com/#!/content/book/3-s2.0-B9780323476331000338?scrollTo=%23hl0000398.
Gill J, Yu S, Neuhaus I. Tobacco smoking and dermatologic surgery [Internet]. ClinicalKey. 2013 [citado 15 abril 2021]. Disponible en:. https://www-clinicalkey-es.ces.idm.oclc.org/#!/content/journal/1-s2.0-S0190962212010250.
Suzuki J, Resnik R. Dehiscencia de la herida: apertura de la línea de incisión [Internet]. ClinicalKey. 2018 [citado 2 junio 2021]. Disponible en:. https://clinicalkey.cesproxy.elogim.com/#!/content/book/3-s2.0-B9788491132721000113.
Seitz A. Wound Healing [Internet]. ClinicalKey. 2018 [citado 29 octubre 2021]. Disponible en: https://clinicalkey.cesproxy.elogim.com/#!/content/book/3-s2.0-B9780323529808000044?scrollTo=%23hl0000238.
Jacob B, Pierce K. Tratamiento de la hernia inguinal recidivante [Internet]. ClinicalKey. 2020 [citado 29 octubre 2021]. Disponible en: https://clinicalkey.cesproxy.elogim.com/#!/content/book/3-s2.0-B9788491137443001173?scrollTo=%23hl0000116.
Hu M, Zielins E, Longaker M, Lorenz H. Scar prevention, treatment, and revision [Internet]. ClinicalKey. 2018 [citado 13 septiembre 2021]. Disponible en: https://clinicalkey.cesproxy.elogim.com/#!/content/book/3-s2.0-B978032335694700014X?scrollTo=%23hl0000565.
Leong M, Murphy K, Phillips L. Cicatrización de las heridas [Internet]. ClinicalKey. 2018 [citado 29 octubre 2021]. Disponible en: https://clinicalkey.cesproxy.elogim.com/#!/content/book/3-s2.0-B9788491131328000068?scrollTo=%23hl0001373.
Beyene R, Derryberry S, Barbul A. The Effect of Comorbidities on Wound Healing [Internet]. ClinicalKey. 2020 [citado 7 mayo 2021]. Disponible en: https://www-clinicalkey-es.ces.idm.oclc.org/#!/content/journal/1-s2.0-S0039610920300475.
Murphy DA, Hockings LE, Andrews RK, Aubron C, Gardiner EE, Pellegrino VA, Davis AK. Extracorporeal membrane oxygenation-hemostatic complications. Transfus Med Rev. 2015 Apr;29(2):90-101. doi: 10.1016/j.tmrv.2014.12.001. Epub 2014 Dec 18. PMID: 25595476.
Estrada V, Cortes L, Pedroza S, Camargo T. Infecciones asociadas con la terapia con Membrana de Oxigenación Extracorpórea en pacientes adultos. Rev Perfusión Colombia (1 - N.º 2) año 2018 pág. 54-60.
Fisterra. Infecciones en cirugía [Internet]. ClinicalKey. 2020 [citado 13 septiembre 2021]. Disponible en: https://clinicalkey.cesproxy.elogim.com/#!/content/guides_techniques/52-s2.0-mt_fis_2563
Ministerio de Salud. Resolución 8430 de 1993. [Internet]. [citado 1 mayo 2021]. Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/
Allou N, Lo Pinto H, Persichini R, Bouchet B, Braunberger E, Lugagne N, et al. Cannula-Related Infection in Patients Supported by Peripheral ECMO: Clinical and Microbiological Characteristics [Internet]. ClinicalKey. 2019 [citado 5 septiembre 2021]. Disponible en: https://doi.org/10.1097/MAT.0000000000000771.
Schmidt M, Bréchot N, Hariri S, Guiguet M, Luyt CE, Makri R, Leprince P, Trouillet JL, Pavie A, Chastre J, Combes A. Nosocomial Infections in Adult Cardiogenic Shock Patients Supported by Venoarterial Extracorporeal Membrane Oxygenation [Internet]. Pub Med. 2012 [citado 5 septiembre 2021]. Disponible en: https://pubmed.cesproxy.elogim.com/22990851/
Hahne K, Horstmann C, Fischer D, Köck R, Peters G, Lebiedz P. Cannula-Related Infection in Adult Medical Intensive Care Unit Patients Undergoing Extracorporeal Life Support and Extracorporeal Membrane Oxygenation [Internet]. The Journal of Hospital Infection 2015 [citado 6 septiembre 2021]. Disponible en: https://doi.org/10.1016/j.jhin.2015.08.022.
Sun HY, Ko WJ, Tsai PR, Sun CC, Chang YY, Lee CW, Chen YC. Infections occurring during extracorporeal membrane oxygenation use in adult patients. [Internet]. Ovid 2010 [citado 12 septiembre2021]. Disponible en: https://oce.ovid.com/article/00005362-201011000-00026.
Zaragoza R, Ramirez P, Lopez-Puello M. Infección nosocomial en las unidades de cuidados intensivos. [Internet]. ClinicalKey 2014 [citado 12 septiembre 2021]. Disponible en: https://clinicalkey.cesproxy.elogim.com/#!/content/journal/1-s2.0-S0213005X14000597.
Grau S. Principales variables que determinan el coste económico en el tratamiento de una infección [Internet] ClinicalKey 2017 [citado 2 septiembre 2021].Disponible en: https://www-clinicalkey-es.ces.idm.oclc.org/#!/content/journal/1-s2.0-S0213005X17300356.
Boukovalas S, Aliano K, Phillips L, Norbury W. Wound Healing [Internet]. ClinicalKey 2021 [citado 29 octubre 2021]. Disponible en: https://www-clinicalkey-es.ces.idm.oclc.org/#!/content/book/3-s2.0-B9780323640626000062?scrollTo=%23hl0001620.
Westra I et al. Investigating Histological Aspects of Scars in Children. [Internet] PubMed 2017 [citado 1 septiembre 2021] Disponible en: https://doi.org/10.12968/jowc.2017.26.5.256.
Restrepo J, Patiño M, y Rojas J. Cuidado del paciente con heridas: de lo básico a lo avanzado. 1 ed. CIB, p177-178; 2020.
Graham T. Hypertension [Internet] ClinicalKey. 2021 [citado 2 de septiembre de 2021]. Disponible en: https://clinicalkey.cesproxy.elogim.com/#!/content/book/3-s2.0-B9780323790062000306?scrollTo=%23hl0000814.
Adams A, Ford M, Larsen P. Inmunobiología de los trasplantes e inmunodepresión [Internet] ClinicalKey 2017 [Accedido 2 septiembre 2021] Disponible en: https://www-clinicalkey-es.ces.idm.oclc.org/#!/content/book/3-s2.0-B978849113132800024X.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 CES Enfermería
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
| Article metrics | |
|---|---|
| Abstract views | |
| Galley vies | |
| PDF Views | |
| HTML views | |
| Other views | |
