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Table 1 Summary of studies reporting outcome associated with hyperoxemia during VA-ECMO support in adults

From: Optimizing PO2 during peripheral veno-arterial ECMO: a narrative review

Studies

Indication for ECMO

Metrics of hyperoxemia

Site of arterial blood gas sampling

Prevalence of severe hyperoxemia (PaO2 > 300 mmHg)

Impact of hyperoxemia

CS

ECPR

Munshi et al. [29]

775

412

PaO2 24 h after ECMO initiation

Not available

CS: 15%

ECPR: 22%

PaO2 between 101 and 300 mmHg is associated with mortality after ECPR (OR 1.77 (CI 1.03–3.03))

Chang et al. [17]

291

First PaO2 within 24 h

“Mostly from right radial artery” but data not available

12%

PaO2 between 77 and 220 mmHg is associated with favorable neurological outcome (OR 2.29 (CI 1.01–5.22))

Halter et al. [14]

66

PaO2 30 min after ECPR start

Not available

62%

Hyperoxemia is associated with 28-day mortality (OR 1.89 (CI 1.74–2.07))

Ross et al. [13]

30

Mean PaO2 during the first 24 h

Right radial: 100%

43%

No association between PaO2 and mortality

Al Kawaz et al. [18]

90

42

Mean PaO2 during 24 first hours

Right radial: 100%

89%

Hyperoxemia is associated with in-hospital mortality (OR 1.18 (CI 1.08–1.29))

Bonnemain et al. [19]

44

Mean PaO2 during 24 first hours

Right radial: 47%

Left radial: 18%

Femoral: 30%

30%

Mean PaO2 is associated with mortality (OR 1.07 (CI 1.01–1.13))

Justus et al. [20]

41

11

Mean PaO2 during the entire ECMO support

Right radial: 100%

10%

No association between mean PaO2 and mortality

Stoll et al. [15]

79

 ≥ 1 episode of PaO2 > 300 mmHg during the first 8 days

Right radial: 100%

75%

Hyperoxemia is associated with 30-day mortality (OR 2.52 (CI 1.06–5.98))

Kashiura et al. [30]

847

First PaO2 after ECPR start

Not available

Not available

PaO2 > 400 mmHg is associated with 30-day neurological outcome (OR 0.48 (CI 0.29–0.82))

Kobayashi et al. [33]

110

PaO2 24 h after ECPR start

Right radial or brachial: 100%

Not available

No association between mean PaO2 and 30-day mortality

  1. CS, cardiogenic shock; ECPR, extracorporeal cardiopulmonary resuscitation; OR, odds ratio; CI, confidence interval