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Extracorporeal membrane oxygenation in adults receiving haematopoietic cell transplantation: an international expert statement

Combined advances in haematopoietic cell transplantation (HCT) and intensive care
management have improved the survival of patients with haematological malignancies
admitted to the intensive care unit. In cases of refractory respiratory failure or
refractory cardiac failure, these advances have led to a renewed interest in advanced
life support therapies, such as extracorporeal membrane oxygenation (ECMO), previously
considered inappropriate for these patients due to their poor prognosis. Given the
scarcity of evidence-based guidelines on the use of ECMO in patients receiving HCT
and the need to provide equitable and sustainable access to ECMO, the European Society
of Intensive Care Medicine, the Extracorporeal Life Support Organization, and the
International ECMO Network aimed to develop an expert consensus statement on the use
of ECMO in adult patients receiving HCT. ....

South Korea , United States , France General , Scott Stephens , Civriz Bozda , Grupo Espa , Trasplante Hematopoyetico , Garcia Borrega , J Thorac Cardiovasc , Ann Hematol , Semin Thromb Hemost , Extracorporeal Life Support Organization Task , European Society Of Intensive Care Medicine , Extracorporeal Life Support Organization Maastricht Treaty , Marrow Transplant Research , Extracorporeal Life Support Organization Ecmoed Taskforce , International Blood , American Society For Transplantation , Lancet Child Adolesc Health , European Society Of Paediatric , Society Of Critical Care Medicine , Extracorporeal Life Support Organization , Extracorporeal Life Support Organization Registry , Health Sci Rep , Paris International Conference , Marrow Transplant ,

Continuation of enteral nutrition until extubation in critically ill patients

There is substantial variation in enteral nutrition practices for airway procedures
in critically ill patients across individual specialists and intensive care units
(ICUs). Fasting times can vary between 0 h and longer than 24 h before planned extubations.1
Patients receiving mechanical ventilation are often underfed, and interruptions are
one of the main causes that energy prescriptions are not met.2 Airway procedures,
such as extubation or tracheotomy, lead to the longest fasting periods in the ICU,
but the implementation of unit-wide guidelines can reduce fasting time and maximise
caloric intake. ....

United States , American Society Of Anesthesiologists , Crit Care , Intensive Care Soc , American Society , Scare Med ,