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Sökning: WFRF:(Salsano Antonio)

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1.
  • Mariscalco, Giovanni, et al. (författare)
  • Peripheral versus central extracorporeal membrane oxygenation for postcardiotomy shock : Multicenter registry, systematic review, and meta-analysis
  • 2020
  • Ingår i: Journal of Thoracic and Cardiovascular Surgery. - : Elsevier BV. - 0022-5223 .- 1097-685X. ; 160:5, s. 44-1216
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: We hypothesized that cannulation strategy in venoarterial extracorporeal membrane oxygenation (VA-ECMO) could play a crucial role in the perioperative survival of patients affected by postcardiotomy shock. Methods: Between January 2010 and March 2018, 781 adult patients receiving VA-ECMO for postcardiotomy shock at 19 cardiac surgical centers were retrieved from the Postcardiotomy Veno-arterial Extracorporeal Membrane Oxygenation study registry. A parallel systematic review and meta-analysis (PubMed/MEDLINE, Embase, and Cochrane Library) through December 2018 was also accomplished. Results: Central and peripheral VA-ECMO cannulation were performed in 245 (31.4%) and 536 (68.6%) patients, respectively. Main indications for the institution VA-ECMO were failure to wean from cardiopulmonary bypass (38%) and heart failure following cardiopulmonary bypass weaning (48%). The doubly robust analysis after inverse probability treatment weighting by propensity score demonstrated that central VA-ECMO was associated with greater hospital mortality (odds ratio 1.54; 95% confidence interval, 1.09-2.18), reoperation for bleeding/tamponade (odds ratio, 1.96; 95% confidence interval, 1.37-2.81), and transfusion of more than 9 RBC units (odds ratio, 2.42; 95% confidence interval, 1.59-3.67). The systematic review provided a total of 2491 individuals with postcardiotomy shock treated with VA-ECMO. Pooled prevalence of in-hospital/30-day mortality in overall patient population was 66.6% (95% confidence interval, 64.7-68.4%), and pooled unadjusted risk ratio analysis confirmed that patients undergoing peripheral VA-ECMO had a lower in-hospital/30-day mortality than patients undergoing central cannulation (risk ratio, 0.92; 95% confidence interval, 0.87-0.98). Adjustments for important confounders did not alter our results. Conclusions: In patients with postcardiotomy shock treated with VA-ECMO, central cannulation was associated with greater in-hospital mortality than peripheral cannulation.
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2.
  • Gedia, Dewang, et al. (författare)
  • NFV-SDN Doctoral Symposium
  • 2022
  • Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
    • We are pleased to welcome you to the 3rd symposium dedicated to PhD students which is taking place during the 8th IEEE NFV-SDN conference. The NFV-SDN Doctoral Symposium is committed to fostering collaboration amongst PhD students and experts from all communities researching and working in the areas of Network Function Virtualization (NFV) and Software Defined Networks (SDN). It offers a unique opportunity for PhD students to present their latest research results, discuss new research ideas, and to gather valuable expert feedback on their work from experienced researchers from both industry and academia. Moreover, it is a place for mentoring and to get in touch with student peers working in the same field.
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