2020 EACTS/ELSO/STS/AATS expert consensus on post-cardiotomy extracorporeal life support in adult patients

Roberto Lorusso*, Glenn Whitman*, Milan Milojevic, Giuseppe Raffa, David M. McMullan, Udo Boeken, Jonathan Haft, Christian Bermudez, Ashish Shah, David A. D'Alessandro

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

4 Citations (Web of Science)

Abstract

Post-cardiotomy extracorporeal life support (PC-ECLS) in adult patients has been used only rarely but recent data have shown a remarkable increase in its use, almost certainly due to improved technology, ease of management, growing familiarity with its capability and decreased costs. Trends in worldwide in-hospital survival, however, rather than improving, have shown a decline in some experiences, likely due to increased use in more complex, critically ill patients rather than to suboptimal management. Nevertheless, PC-ECLS is proving to be a valuable resource for temporary cardiocirculatory and respiratory support in patients who would otherwise most likely die. Because a comprehensive review of PC-ECLS might be of use for the practitioner, and possibly improve patient management in this setting, the authors have attempted to create a concise, comprehensive and relevant analysis of all aspects related to PC-ECLS, with a particular emphasis on indications, technique, management, and avoidance of complications, appraisal of new approaches and ethics, education, and training.

Original languageEnglish
Pages (from-to)1287-1331
Number of pages45
JournalJournal of Thoracic and Cardiovascular Surgery
Volume161
Issue number4
DOIs
Publication statusPublished - Apr 2021

Keywords

  • cardiac surgery
  • consensus statements
  • extracorporeal life support
  • extracorporeal membrane oxygenation
  • guidelines
  • mechanical support
  • postcardiotomy failure
  • MEMBRANE-OXYGENATION SUPPORT
  • VENTILATOR-ASSOCIATED PNEUMONIA
  • MECHANICAL CIRCULATORY SUPPORT
  • RESPIRATORY-DISTRESS-SYNDROME
  • INTRAAORTIC BALLOON SUPPORT
  • PRIMARY GRAFT DYSFUNCTION
  • NEAR-INFRARED SPECTROSCOPY
  • VENTRICULAR ASSIST DEVICE
  • RENAL REPLACEMENT THERAPY
  • POSTCARDIOTOMY CARDIOGENIC-SHOCK

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