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 - Funding Information:
The authors gratefully acknowledge the contribution of Massimiliano Crespi, who drew the anatomical illustrations present throughout the manuscript. In addition, they truly value the contributions of the peer reviewers whose valuable comments assisted them in achieving this goal.
PY - 2020
Y1 - 2020
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
AN - SCOPUS:85092260415
JO - Journal of Thoracic and Cardiovascular Surgery
JF - Journal of Thoracic and Cardiovascular Surgery
SN - 0022-5223
ER -