Single-center surgical site infection rate after peripheral ECMO decannulation and surgical repair.
Paul HaddadCara ChasinJiaqiong XuEric PedenMaham RahimiPublished in: Therapeutic advances in infectious disease (2022)
Surgical repair of ECMO arterial cannulation sites had postoperative SSIs in nearly half of the patients (45%). The VV ECMO SSI rate was found to be 7.7%. Severity of infection was worse in more complicated repairs. Overall ECMO mortality was high at 69%. Although we found no clear correlation with common risk factors, transfusions >250 ml and blood loss >300 ml were found to be predictive. Vascular surgeons should be aware of high risk of SSI with repair of femoral ECMO cannulation sites.
Keyphrases
- extracorporeal membrane oxygenation
- surgical site infection
- acute respiratory distress syndrome
- respiratory failure
- risk factors
- end stage renal disease
- ejection fraction
- newly diagnosed
- mechanical ventilation
- chronic kidney disease
- patients undergoing
- type diabetes
- prognostic factors
- quality improvement
- cardiovascular disease
- patient reported outcomes