Clinical Management of Venoarterial Extracorporeal Membrane Oxygenation

Autor: Natalia S. Ivascu, Brigid C. Flynn, Erin Iannacone, Marguerite M. Hoyler, Mandisa-Maia Jones
Rok vydání: 2020
Předmět:
Zdroj: Journal of Cardiothoracic and Vascular Anesthesia. 34:2776-2792
ISSN: 1053-0770
Popis: Venoarterial extracorporeal membrane oxygenation (ECMO) is a well-established technique to rescue patients experiencing cardiogenic shock. As a form of temporary mechanical circulatory support, venoarterial ECMO can be life-saving, but it is resource intensive and associated with substantial morbidity and mortality. Optimal clinical outcomes require specific expertise in the principles and nuances of ECMO physiology and management. Key considerations discussed in this review include hemodynamic assessment and goals; pharmacologic anticoagulation; ECMO weaning strategies; and the prevention, evaluation, and treatment of common complications.
Databáze: OpenAIRE