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
AU - Shah, Ashish
AU - D'Alessandro, David A.
N1 - Publisher Copyright:
© 2020 The American Association for Thoracic Surgery
PY - 2021/4
Y1 - 2021/4
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 - cardiac surgery
KW - consensus statements
KW - extracorporeal life support
KW - extracorporeal membrane oxygenation
KW - guidelines
KW - mechanical support
KW - postcardiotomy failure
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U2 - 10.1016/j.jtcvs.2020.09.045
DO - 10.1016/j.jtcvs.2020.09.045
M3 - Article
C2 - 33039139
AN - SCOPUS:85092260415
VL - 161
SP - 1287
EP - 1331
JO - Journal of Thoracic and Cardiovascular Surgery
JF - Journal of Thoracic and Cardiovascular Surgery
SN - 0022-5223
IS - 4
ER -