Fluid management in adult patients undergoing venoarterial extracorporeal membrane oxygenation: A scoping review
Authors' conclusion
The available literature on the fluid management in VA-ECMO setting is scarce.
Study context
- Population
- Critically ill adults supported by venoarterial extracorporeal membrane oxygenation (VA-ECMO) for any indication (cardiogenic shock or ECPR), with or without RRT16 studies
- Outcome
- Fluid management in VA-ECMO (type, dosing, fluid balance)
Methodological detailsPubMed and EMBASE searched from inception to April 2024
- PubMed and EMBASE searched from inception to April 2024
Main finding
As reported in the abstract
- 16 studies included: 14 clinical, 2 experimental animal
- Lack of studies comparing restrictive and liberal approaches
- No study compared efficacy and safety of balanced vs saline solutions
- Negative impact of early and cumulative fluid overload on survival and renal outcomes, despite study heterogeneity
Original publication
Fluid management in adult patients undergoing venoarterial extracorporeal membrane oxygenation: A scoping review. J Crit Care. Published 21 December 2024. doi:10.
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