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 A. Bermudez; Ashish S. Shah; David A. D'Alessandro

doi:10.1097/MAT.0000000000001301

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 A. Bermudez, Ashish S. Shah, David A. D'Alessandro

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

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
Pages (from-to)	E1-E43
Number of pages	43
Journal	Asaio Journal
Volume	67
Issue number	1
DOIs	https://doi.org/10.1097/MAT.0000000000001301
Publication status	Published - Jan 2021

Keywords

Guidelines
Consensus statements
Cardiac surgery
Postcardiotomy failure
Extracorporeal life support
Extracorporeal membrane oxygenation
Mechanical support
VENTRICULAR ASSIST DEVICE
MECHANICAL CIRCULATORY SUPPORT
MEMBRANE-OXYGENATION SUPPORT
POSTCARDIOTOMY CARDIOGENIC-SHOCK
RESPIRATORY-DISTRESS-SYNDROME
RENAL REPLACEMENT THERAPY
VENTILATOR-ASSOCIATED PNEUMONIA
INTRAAORTIC BALLOON SUPPORT
NEAR-INFRARED SPECTROSCOPY
PRIMARY GRAFT DYSFUNCTION

Access to Document

10.1097/MAT.0000000000001301

Cite this

@article{cbc7f26cfc9545a3b0f435b389eed764,

title = "2020 EACTS/ELSO/STS/AATS Expert Consensus on Post-cardiotomy Extracorporeal Life Support in Adult Patients",

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.",

keywords = "Guidelines, Consensus statements, Cardiac surgery, Postcardiotomy failure, Extracorporeal life support, Extracorporeal membrane oxygenation, Mechanical support, VENTRICULAR ASSIST DEVICE, MECHANICAL CIRCULATORY SUPPORT, MEMBRANE-OXYGENATION SUPPORT, POSTCARDIOTOMY CARDIOGENIC-SHOCK, RESPIRATORY-DISTRESS-SYNDROME, RENAL REPLACEMENT THERAPY, VENTILATOR-ASSOCIATED PNEUMONIA, INTRAAORTIC BALLOON SUPPORT, NEAR-INFRARED SPECTROSCOPY, PRIMARY GRAFT DYSFUNCTION",

author = "Roberto Lorusso and Glenn Whitman and Milan Milojevic and Giuseppe Raffa and McMullan, {David M.} and Udo Boeken and Jonathan Haft and Bermudez, {Christian A.} and Shah, {Ashish S.} and D'Alessandro, {David A.}",

year = "2021",

month = jan,

doi = "10.1097/MAT.0000000000001301",

language = "English",

volume = "67",

pages = "E1--E43",

journal = "Asaio Journal",

issn = "1058-2916",

publisher = "Lippincott Williams and Wilkins Ltd.",

number = "1",

}

TY - JOUR

T1 - 2020 EACTS/ELSO/STS/AATS Expert Consensus on Post-cardiotomy Extracorporeal Life Support in Adult Patients

AU - Lorusso, Roberto

AU - Whitman, Glenn

AU - Milojevic, Milan

AU - Raffa, Giuseppe

AU - McMullan, David M.

AU - Boeken, Udo

AU - Haft, Jonathan

AU - Bermudez, Christian A.

AU - Shah, Ashish S.

AU - D'Alessandro, David A.

PY - 2021/1

Y1 - 2021/1

N2 - 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.

AB - 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.

KW - Guidelines

KW - Consensus statements

KW - Cardiac surgery

KW - Postcardiotomy failure

KW - Extracorporeal life support

KW - Extracorporeal membrane oxygenation

KW - Mechanical support

KW - VENTRICULAR ASSIST DEVICE

KW - MECHANICAL CIRCULATORY SUPPORT

KW - MEMBRANE-OXYGENATION SUPPORT

KW - POSTCARDIOTOMY CARDIOGENIC-SHOCK

KW - RESPIRATORY-DISTRESS-SYNDROME

KW - RENAL REPLACEMENT THERAPY

KW - VENTILATOR-ASSOCIATED PNEUMONIA

KW - INTRAAORTIC BALLOON SUPPORT

KW - NEAR-INFRARED SPECTROSCOPY

KW - PRIMARY GRAFT DYSFUNCTION

U2 - 10.1097/MAT.0000000000001301

DO - 10.1097/MAT.0000000000001301

M3 - Article

C2 - 33021558

SN - 1058-2916

VL - 67

SP - E1-E43

JO - Asaio Journal

JF - Asaio Journal

IS - 1

ER -