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 |