2020 EACTS/ELSO/STS/AATS expert consensus on post-cardiotomy extracorporeal life support in adult patients. (7th October 2020)

• Record Type: Journal Article
• Authors: Lorusso, Roberto; Whitman, Glenn; Milojevic, Milan; Raffa, Giuseppe; McMullan, David M; Boeken, Udo; Haft, Jonathan; Bermudez, Christian A; Shah, Ashish S; D'Alessandro, David A
• Is Part Of: European journal of cardio-thoracic surgery. Volume 59:Number 1(2021)
• Page Start: 12
• Page End: 53
• Publication Date: 2020-10-07
• Subjects: Guidelines -- Consensus statements -- Cardiac surgery -- Postcardiotomy failure -- Extracorporeal life support -- Extracorporeal membrane oxygenation -- Mechanical support; Heart -- Surgery -- Periodicals; Chest -- Surgery -- Periodicals; 617.54
• DOI: 10.1093/ejcts/ezaa283
• Languages: English
• ISSNs: 1010-7940

Abstract

Abstract: 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.