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

R. Lorusso*, G. Whitman*, M. Milojevic, G. Raffa, D.M. McMullan, U. Boeken, J. Haft, C.A. Bermudez, A.S. Shah, D.A. D'Alessandro

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

17 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)12-53
Number of pages42
JournalEuropean Journal of Cardio-Thoracic Surgery
Volume59
Issue number1
DOIs
Publication statusPublished - 1 Jan 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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