Adverse Outcomes Associated With Atrial Arrhythmias After Veno-Venous Extracorporeal Membrane Oxygenation.

Veno-venous extracorporeal membrane oxygenation (VV ECMO) is used as a treatment modality in those who fail to respond to conventional care. Hypoxia and medications used in the intensive care unit may increase risk for atrial arrhythmias (AA). This study aims to evaluate the impact of AA on post-VV ECMO outcome. A retrospective review of patients who were placed on VV ECMO between October 2016 and October 2021. One hundred forty-five patients were divided into two groups, AA and no AA. Baseline characteristic and potential risk factors were assessed. Uni- and multivariate analysis using logistic regression models were constructed to evaluate the predictors of mortality between groups. Survival between groups was estimated by the Kaplan-Meier method using the log-rank test. Advanced age with history of coronary artery disease and hypertension were associated with increased risk to develop AA post-VV ECMO placement ( p value < 0.05). Length on ECMO, time intubated, hospital length of stay, and sepsis were significantly increased in patients in the AA group ( p value < 0.05). There was no difference in the overall mortality between the two groups. AAs were associated with worse hospital course and complications but no difference in overall mortality rate. Age and cardiovascular disease seem to be predisposing risk factors for this. Further studies are needed to investigate potential strategies to prevent AAs development in this population.

Safety and effectiveness of uniportal video-assisted thoracoscopic surgery compared to triportal surgery: a single institution experience.

Introduction: Uniportal video-assisted thoracoscopic surgery (VATS) has increasingly been used in thoracic surgery during the last decade. Aim: To assess the safety and effectiveness of uniportal VATS compared to triportal VATS. Material and methods: Data of a total of 318 patients between 2009 and 2019 who underwent uniportal and triportal VATS were reviewed. Bivariate statistical analysis using Pearson's χ2 test was performed. Results: Our data showed statistical differences only in complications and hospital stay between the 2 groups. Conclusions: Uniportal VATS has a safe post-operative outcome and is comparable to triportal VATS.