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Structured review of post-cardiotomy extracorporeal membrane oxygenation
- Source :
- J Heart Lung Transplant
- Publication Year :
- 2019
-
Abstract
- Cardiogenic shock, cardiac arrest, acute respiratory failure, or a combination of such events, are all potential complications after cardiac surgery which lead to high mortality. Use of extracorporeal temporary cardio-circulatory and respiratory support for progressive clinical deterioration can facilitate bridging the patient to recovery or to more durable support. Over the last decade, extracorporeal membrane oxygenation (ECMO) has emerged as the preferred temporary artificial support system in such circumstances. Many factors have contributed to widespread ECMO use, including the relative ease of implantation, effectiveness, versatility, low cost relative to alternative devices, and potential for full, not just partial circulatory support. While there have been numerous publications detailing the short and midterm outcomes of ECMO support, specific reports about post-cardiotomy ECMO (PC-ECMO), are limited, single-center experiences. Etiology of cardiorespiratory failure leading to ECMO implantation, associated ECMO complications, and overall patient outcomes may be unique to the PC-ECMO population. Despite the rise in PC-ECMO use over the past decade, short-term survival has not improved. This report, therefore, aims to present a comprehensive overview of the literature with respect to the prevalence of ECMO use, patient characteristics, ECMO management, and in-hospital and early post-discharge patient outcomes for those treated for post-cardiotomy heart, lung, or heart-lung failure. (C) 2019 International Society for Heart and Lung Transplantation. All rights reserved.
- Subjects :
- Pulmonary and Respiratory Medicine
Adult
medicine.medical_specialty
LEFT-VENTRICLE
medicine.medical_treatment
Population
LIFE-SUPPORT
RESPIRATORY-DISTRESS-SYNDROME
030204 cardiovascular system & hematology
extracorporeal life support
Article
Hypoxemia
REFRACTORY CARDIAC-ARREST
03 medical and health sciences
0302 clinical medicine
LONG-TERM OUTCOMES
Extracorporeal membrane oxygenation
postoperative complications
Medicine
Humans
Cardiopulmonary resuscitation
ADULT PATIENTS
Cardiac Surgical Procedures
POSTCARDIOTOMY CARDIOGENIC-SHOCK
Intensive care medicine
education
ELDERLY-PATIENTS
Transplantation
education.field_of_study
business.industry
Cardiogenic shock
cardiogenic shock
MECHANICAL CIRCULATORY SUPPORT
extracorporeal membrane oxygenation
medicine.disease
Cardiac surgery
surgical procedures, operative
Treatment Outcome
030228 respiratory system
Life support
Surgery
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Cardiotomy
RIGHT HEART-FAILURE
cardiac surgery
Subjects
Details
- Language :
- English
- ISSN :
- 10532498
- Volume :
- 38
- Issue :
- 11
- Database :
- OpenAIRE
- Journal :
- Journal of Heart and Lung Transplantation
- Accession number :
- edsair.doi.dedup.....6a1506d3263e987120cef54c06aa5be8