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 - Publisher Copyright:
© 2021 European Association for Cardio-Thoracic Surgery. All rights reserved.
PY - 2021/1/1
Y1 - 2021/1/1
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.
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 - 10.1093/ejcts/ezaa283
DO - 10.1093/ejcts/ezaa283
M3 - Review article
C2 - 33026084
AN - SCOPUS:85099429091
SN - 1010-7940
VL - 59
SP - 12
EP - 53
JO - European Journal of Cardio-thoracic Surgery
JF - European Journal of Cardio-thoracic Surgery
IS - 1
ER -