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 language | English |
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Pages (from-to) | 12-53 |
Number of pages | 42 |
Journal | European Journal of Cardio-Thoracic Surgery |
Volume | 59 |
Issue number | 1 |
DOIs | |
Publication status | Published - 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