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 A.
AU - Shah, Ashish S.
AU - D'Alessandro, David A.
N1 - Funding Information:
Disclaimer 2020: The EACTS/ELSO/STS/AATS expert consensus represent the views of the EACTS, ELSO, STS and AATS and were produced after careful consideration of the scientific and medical knowledge and the evidence available at the time of their dating. The EACTS, ELSO, STS and AATS are not responsible in the event of any contradiction, discrepancy and/or ambiguity between this document and any other official recommendations or guidelines issued by the relevant public health authorities, in particular in relation to good use of healthcare or therapeutic strategies. The EACTS, ELSO, STS and AATS expert consensus does not, in any way whatsoever, override the individual responsibility of health professionals to make appropriate and accurate decisions in consideration of each patient's health condition and, where appropriate and/or necessary, in consultation with that patient and the patient's care provider. Nor do the EACTS, ELSO, STS and AATS expert consensus exempt health professionals from giving full and careful consideration to the relevant official, updated recommendations or guidelines issued by the competent public health authorities, in order to manage each patient's case in light of the scientifically accepted data pursuant to their respective ethical and professional obligations. It is also the health professional's responsibility to verify the applicable rules and regulations relating to drugs and medical devices at the time of prescription. 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. This article was produced by and is under the sole responsibility of the EACTS, the ELSO, the STS and the AATS.
Publisher Copyright:
© 2021 Jointly between The Society of Thoracic Surgeons, the American Association for Thoracic Surgery, the European Association for Cardio-Thoracic Surgery, and the Extracorporeal Life Support Organization
PY - 2021/1
Y1 - 2021/1
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.
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U2 - 10.1016/j.athoracsur.2020.07.009
DO - 10.1016/j.athoracsur.2020.07.009
M3 - Article
C2 - 33036737
AN - SCOPUS:85095424886
SN - 0003-4975
VL - 111
SP - 327
EP - 369
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
IS - 1
ER -