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ats_2026 [2025/11/05 15:20] adminats_2026 [2026/01/13 17:46] (current) admin
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-## Authors 
-Eric W. Robbins 1 
-Jacqueline Robinson 2,3 
-Emmanuel Robinson 4 
-Yvonne Chung 2,3 
-Erin Niles 5 
-Kimberly Boswell 2,6 
-Emily Esposito 2,6 
-Daniel Haase 2,6 
-Elizabeth Powell 2,6 
- 
-1 Department of Medicine; Division of Pulmonary, Critical Care, and Sleep Medicine; University of Maryland School of Medicine; Baltimore, MD, USA 
-2 Program in Trauma, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD, USA 
-3 Department of Surgery, University of Maryland School of Medicine, Baltimore, MD, USA. 
-4 Department of Surgery, Division of Cardiac Surgery, Johns Hopkins Hospital, Baltimore, MD, USA 
-5 Critical Care Resuscitation Unit, R Adams Cowley Shock Trauma Center, Baltimore, MD, USA 
-6 Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD, USA. 
- 
-## Introduction  
-Status asthmaticus refractory to conventional therapy can lead to life-threatening respiratory failure. 
-Veno-venous extracorporeal membrane oxygenation (VV ECMO) is a potentially life-saving intervention for this population, but current literature is limited. 
-We hypothesized that patients with status asthmaticus who received VV ECMO would have favorable survival rates. 
- 
-## Methods 
-We performed a single-center retrospective review of adult patients (≥18 years) supported with VV ECMO for status asthmaticus between January 2014 and January 2025. 
-Patients were identified through our Lung Rescue Unit database. 
-Clinical characteristics, outcomes, and scoring metrics (PRESET, RESP, SOFA, SAPS II, and GCS) were analyzed. 
-The primary outcome was survival to hospital discharge. 
- 
-## Results 
-Fifteen patients met inclusion criteria (median age 32 years; 53% male). 
-The survival rates for status asthmaticus (86.7%; n=13/15) and our overall VV ECMO cohort (78.0%; n = 439/563) were not statistically significant (p = 0.42). 
-Survivors of status asthmaticus had longer hospital stays (16 vs 5 days, p=0.03) and were less likely to have had a cardiac arrest prior to ECMO initiation (7% vs 100%, p=0.03), compared to non-survivors. 
-Mean pre-cannulation pH was 7.08, and mean paCO2 was 81 mmHg. 
-Scoring systems suggested high expected survival: mean scores were RESP 3, SOFA 8, SAPS II 28, and PRESET 5. 
-Compared to the broader institutional VV ECMO cohort, status asthmaticus patients had shorter ECMO durations and lower tracheostomy rates (13% vs 15%, p=0.01). 
- 
-## Conclusions 
-VV ECMO is a viable therapy for patients with status asthmaticus refractory to conventional management, with our center's survival rate approaching 90%. 
-Further research is needed to refine selection criteria and optimize outcomes in this population. 
- 
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 ====== Admin Details ====== ====== Admin Details ======
  
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 ====== Transit ====== ====== Transit ======
  
-[[https://www.bart.gov/schedules | BART Schedules]] 
  
 **__Inbound__** **__Inbound__**
- 
-ETA: 40 min 
- 
-From SFO, take RED-N or YELLOW-N to [[https://maps.app.goo.gl/M5mkCsTjyjcJUvAw7 | Powell Street ]] 
  
  
 **__Outbound__** **__Outbound__**
  
-ETA: 40 min 
-From [[https://maps.app.goo.gl/M5mkCsTjyjcJUvAw7 | Powell Street ]], take YELLOW-S or RED-S to [[https://maps.app.goo.gl/mKX8GC68zKbBZC8Q6 | SFO]] 
  
 ====== Schedule ====== ====== Schedule ======
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   * 11:30: my presentation   * 11:30: my presentation
   * 21:41: SFO flight to IAD   * 21:41: SFO flight to IAD
 +
 +====== poster details ======
 +
 +===== VV-ECMO =====
 +
 +Sunday May 17, 2026, 11:30 - 13:15
 +
 +12369 - VV ECMO in Status Asthmaticus Results in High Survival Rates: A Retrospective Cohort Study 
 +
 +A56 - HEMODYNAMIC COLLAPSE IN CRITICAL ILLNESS: PREDICTION, PHYSIOLOGY, AND RESCUE THERAPIES
ats_2026.1762356041.txt.gz · Last modified: by admin