Diaphragm thickness modifications and associated factors during VA-ECMO for a cardiogenic shock: a cohort study

Annals of Intensive Care(2024)

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Abstract
The incidence, causes and impact of diaphragm thickness evolution in veno-arterial extracorporeal membrane oxygenation (VA-ECMO) for cardiogenic shock are unknown. Our study investigates its evolution during the first week of VA-ECMO and its relationship with sweep gas flow settings. We conducted a prospective monocentric observational study in a 12-bed ICU in France, enrolling patients on the day of the VA-ECMO implantation. The diaphragm thickness and the diaphragm thickening fraction (as index of contractile activity, dTF; dTF < 20
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Key words
Diaphragm,Muscle,Weaning,ECMO,Cardiogenic shock
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