Extracorporeal life support in cardiogenic shock: indications and management in current practice
Autor: | N. de Jonge, S. A. Braithwaite, M. de Jong, Christiaan L. Meuwese, Faiz Ramjankhan, Dirk W. Donker, Marc P. Buijsrogge, J. G. D. Janssen, C. Klöpping, J. H. Kirkels |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
medicine.medical_specialty
endocrine system business.industry Cardiogenic shock 030208 emergency & critical care medicine Review Article Extracorporeal life support (ECLS) 030204 cardiovascular system & hematology Short-term cardiac mechanical support medicine.disease Extracorporeal membrane oxygenation (ECMO) Optimal management Extracorporeal Review article 03 medical and health sciences 0302 clinical medicine Refractory Current practice Life support medicine Observational study Intensive care medicine business Cardiology and Cardiovascular Medicine |
Zdroj: | Netherlands Heart Journal Netherlands Heart Journal, 26(2), 58. Bohn Stafleu van Loghum |
ISSN: | 1876-6250 1568-5888 |
Popis: | Veno-arterial extracorporeal life support (VA-ECLS) provides circulatory and respiratory stabilisation in patients with severe refractory cardiogenic shock. Although randomised controlled trials are lacking, the use of VA-ECLS is increasing and observational studies repeatedly have shown treatment benefits in well-selected patients. Current clinical challenges in VA-ECLS relate to optimal management of the individual patient on extracorporeal support given its inherent complexity. In this review article we will discuss indications, daily clinical management and complications of VA-ECLS in cardiogenic shock refractory to conventional treatment strategies. |
Databáze: | OpenAIRE |
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