ECMO assistance during mechanical ventilation : effects induced on energetic and haemodynamic variables

De Lazzari, Beatrice and Iacovoni, Attilio and Mottaghy, Khosrow and Capoccia, Massimo and Badagliacca, Roberto and Vizza, Carmine Dario and De Lazzari, Claudio (2021) ECMO assistance during mechanical ventilation : effects induced on energetic and haemodynamic variables. Computer Methods and Programs in Biomedicine, 202. 106003. ISSN 0169-2607 (https://doi.org/10.1016/j.cmpb.2021.106003)

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Abstract

Background and Objective: Simulation in cardiovascular medicine may help clinicians understand the important events occurring during mechanical ventilation and circulatory support. During the COVID-19 pandemic, a significant number of patients have required hospital admission to tertiary referral centres for concomitant mechanical ventilation and extracorporeal membrane oxygenation (ECMO). Nevertheless, the management of ventilated patients on circulatory support can be quite challenging. Therefore, we sought to review the management of these patients based on the analysis of haemodynamic and energetic parameters using numerical simulations generated by a software package named CARDIOSIM