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.
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