Advances in the use of ECMO in oncology patient

Background Over the past decade, ECMO has provided temporary cardiopulmonary support to an increasing number of patients, but the use of extracorporeal membrane oxygenation (ECMO) to provide temporary respiratory and circulatory support to adult patients with malignancy remains controversial. Object...

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Published inCancer medicine (Malden, MA) Vol. 12; no. 15; pp. 16243 - 16253
Main Authors Teng, Xiangnan, Wu, Jiali, Liao, Jing, Xu, Shanling
Format Journal Article
LanguageEnglish
Published United States John Wiley & Sons, Inc 01.08.2023
John Wiley and Sons Inc
Wiley
Subjects
cancer patient
Cancer therapies
Case reports
Chemotherapy
Extracorporeal membrane oxygenation
Hematology
Hematopoietic stem cells
Hospitals
Intensive care
intensive care unit
Lungs
Malignancy
Medical prognosis
Mortality
Oncology
Oxygenation
Patients
Pneumonia
Respiratory distress syndrome
Respiratory failure
Review
Solid tumors
Stem cell transplantation
Surgery
Thrombocytopenia
Tumors
Ventilators
cancer patient
extracorporeal membrane oxygenation
intensive care unit
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Abstract Background Over the past decade, ECMO has provided temporary cardiopulmonary support to an increasing number of patients, but the use of extracorporeal membrane oxygenation (ECMO) to provide temporary respiratory and circulatory support to adult patients with malignancy remains controversial. Objectives This paper reviews the specific use of extracorporeal membrane oxygenation (ECMO) in oncology patients. Methods We searched PubMed, CINAHL, Cochrane Library, and Embase databases for studies on the use of ECMO in cancer patients between 1998 and 2022. Twenty‐four retrospective, prospective, and case reports were included. The primary outcome was survival during extracorporeal membrane oxygenation. Results Most studies suggest that ECMO can be used in oncology patients requiring life support during surgery, solid tumor patients with respiratory failure, and hematological tumor patients requiring ECOM as a supportive means of chemotherapy; however, in patients with hematologic oncology undergoing hematopoietic stem cell transplantation, there was no clear benefit after the use of ECMO. Conclusion Current research suggests that ECMO may be considered as a salvage support in specific cancer patients. Future studies should include larger sample sizes than those already conducted, including studies on efficacy, adverse events, and health.
AbstractList Abstract Background Over the past decade, ECMO has provided temporary cardiopulmonary support to an increasing number of patients, but the use of extracorporeal membrane oxygenation (ECMO) to provide temporary respiratory and circulatory support to adult patients with malignancy remains controversial. Objectives This paper reviews the specific use of extracorporeal membrane oxygenation (ECMO) in oncology patients. Methods We searched PubMed, CINAHL, Cochrane Library, and Embase databases for studies on the use of ECMO in cancer patients between 1998 and 2022. Twenty‐four retrospective, prospective, and case reports were included. The primary outcome was survival during extracorporeal membrane oxygenation. Results Most studies suggest that ECMO can be used in oncology patients requiring life support during surgery, solid tumor patients with respiratory failure, and hematological tumor patients requiring ECOM as a supportive means of chemotherapy; however, in patients with hematologic oncology undergoing hematopoietic stem cell transplantation, there was no clear benefit after the use of ECMO. Conclusion Current research suggests that ECMO may be considered as a salvage support in specific cancer patients. Future studies should include larger sample sizes than those already conducted, including studies on efficacy, adverse events, and health.
Abstract Background Over the past decade, ECMO has provided temporary cardiopulmonary support to an increasing number of patients, but the use of extracorporeal membrane oxygenation (ECMO) to provide temporary respiratory and circulatory support to adult patients with malignancy remains controversial. Objectives This paper reviews the specific use of extracorporeal membrane oxygenation (ECMO) in oncology patients. Methods We searched PubMed, CINAHL, Cochrane Library, and Embase databases for studies on the use of ECMO in cancer patients between 1998 and 2022. Twenty‐four retrospective, prospective, and case reports were included. The primary outcome was survival during extracorporeal membrane oxygenation. Results Most studies suggest that ECMO can be used in oncology patients requiring life support during surgery, solid tumor patients with respiratory failure, and hematological tumor patients requiring ECOM as a supportive means of chemotherapy; however, in patients with hematologic oncology undergoing hematopoietic stem cell transplantation, there was no clear benefit after the use of ECMO. Conclusion Current research suggests that ECMO may be considered as a salvage support in specific cancer patients. Future studies should include larger sample sizes than those already conducted, including studies on efficacy, adverse events, and health.
BACKGROUNDOver the past decade, ECMO has provided temporary cardiopulmonary support to an increasing number of patients, but the use of extracorporeal membrane oxygenation (ECMO) to provide temporary respiratory and circulatory support to adult patients with malignancy remains controversial. OBJECTIVESThis paper reviews the specific use of extracorporeal membrane oxygenation (ECMO) in oncology patients. METHODSWe searched PubMed, CINAHL, Cochrane Library, and Embase databases for studies on the use of ECMO in cancer patients between 1998 and 2022. Twenty-four retrospective, prospective, and case reports were included. The primary outcome was survival during extracorporeal membrane oxygenation. RESULTSMost studies suggest that ECMO can be used in oncology patients requiring life support during surgery, solid tumor patients with respiratory failure, and hematological tumor patients requiring ECOM as a supportive means of chemotherapy; however, in patients with hematologic oncology undergoing hematopoietic stem cell transplantation, there was no clear benefit after the use of ECMO. CONCLUSIONCurrent research suggests that ECMO may be considered as a salvage support in specific cancer patients. Future studies should include larger sample sizes than those already conducted, including studies on efficacy, adverse events, and health.
Over the past decade, ECMO has provided temporary cardiopulmonary support to an increasing number of patients, but the use of extracorporeal membrane oxygenation (ECMO) to provide temporary respiratory and circulatory support to adult patients with malignancy remains controversial. This paper reviews the specific use of extracorporeal membrane oxygenation (ECMO) in oncology patients. We searched PubMed, CINAHL, Cochrane Library, and Embase databases for studies on the use of ECMO in cancer patients between 1998 and 2022. Twenty-four retrospective, prospective, and case reports were included. The primary outcome was survival during extracorporeal membrane oxygenation. Most studies suggest that ECMO can be used in oncology patients requiring life support during surgery, solid tumor patients with respiratory failure, and hematological tumor patients requiring ECOM as a supportive means of chemotherapy; however, in patients with hematologic oncology undergoing hematopoietic stem cell transplantation, there was no clear benefit after the use of ECMO. Current research suggests that ECMO may be considered as a salvage support in specific cancer patients. Future studies should include larger sample sizes than those already conducted, including studies on efficacy, adverse events, and health.
Background Over the past decade, ECMO has provided temporary cardiopulmonary support to an increasing number of patients, but the use of extracorporeal membrane oxygenation (ECMO) to provide temporary respiratory and circulatory support to adult patients with malignancy remains controversial. Objectives This paper reviews the specific use of extracorporeal membrane oxygenation (ECMO) in oncology patients. Methods We searched PubMed, CINAHL, Cochrane Library, and Embase databases for studies on the use of ECMO in cancer patients between 1998 and 2022. Twenty‐four retrospective, prospective, and case reports were included. The primary outcome was survival during extracorporeal membrane oxygenation. Results Most studies suggest that ECMO can be used in oncology patients requiring life support during surgery, solid tumor patients with respiratory failure, and hematological tumor patients requiring ECOM as a supportive means of chemotherapy; however, in patients with hematologic oncology undergoing hematopoietic stem cell transplantation, there was no clear benefit after the use of ECMO. Conclusion Current research suggests that ECMO may be considered as a salvage support in specific cancer patients. Future studies should include larger sample sizes than those already conducted, including studies on efficacy, adverse events, and health.
Author Teng, Xiangnan
Wu, Jiali
Xu, Shanling
Liao, Jing
AuthorAffiliation 2 Department of Respiratory and Critical Care Medicine The Affiliated Hospital of Southwest Medical University Luzhou China
1 Department of Critical Care Medicine, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine University of Electronic Science and Technology of China Chengdu China
AuthorAffiliation_xml – name: 1 Department of Critical Care Medicine, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine University of Electronic Science and Technology of China Chengdu China
– name: 2 Department of Respiratory and Critical Care Medicine The Affiliated Hospital of Southwest Medical University Luzhou China
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  fullname: Teng, Xiangnan
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– sequence: 2
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  fullname: Wu, Jiali
  organization: The Affiliated Hospital of Southwest Medical University
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/37458111$$D View this record in MEDLINE/PubMed
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2023 The Authors. Cancer Medicine published by John Wiley & Sons Ltd.
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Keywords cancer patient
extracorporeal membrane oxygenation
intensive care unit
Language English
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Snippet Background Over the past decade, ECMO has provided temporary cardiopulmonary support to an increasing number of patients, but the use of extracorporeal...
Over the past decade, ECMO has provided temporary cardiopulmonary support to an increasing number of patients, but the use of extracorporeal membrane...
Abstract Background Over the past decade, ECMO has provided temporary cardiopulmonary support to an increasing number of patients, but the use of...
BackgroundOver the past decade, ECMO has provided temporary cardiopulmonary support to an increasing number of patients, but the use of extracorporeal membrane...
BACKGROUNDOver the past decade, ECMO has provided temporary cardiopulmonary support to an increasing number of patients, but the use of extracorporeal membrane...
Abstract Background Over the past decade, ECMO has provided temporary cardiopulmonary support to an increasing number of patients, but the use of...
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StartPage 16243
SubjectTerms cancer patient
Cancer therapies
Case reports
Chemotherapy
Extracorporeal membrane oxygenation
Hematology
Hematopoietic stem cells
Hospitals
Intensive care
intensive care unit
Lungs
Malignancy
Medical prognosis
Mortality
Oncology
Oxygenation
Patients
Pneumonia
Respiratory distress syndrome
Respiratory failure
Review
Solid tumors
Stem cell transplantation
Surgery
Thrombocytopenia
Tumors
Ventilators
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Title Advances in the use of ECMO in oncology patient
URI https://onlinelibrary.wiley.com/doi/abs/10.1002%2Fcam4.6288
https://www.ncbi.nlm.nih.gov/pubmed/37458111
https://www.proquest.com/docview/2858939777
https://search.proquest.com/docview/2838643307
https://pubmed.ncbi.nlm.nih.gov/PMC10469637
https://doaj.org/article/dbcbde25cbaf447e9d1120e6b51dd87b
Volume 12
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