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 Lippincott Williams and Wilkins. 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
UR - http://www.scopus.com/inward/record.url?scp=85098833853&partnerID=8YFLogxK
U2 - 10.1097/MAT.0000000000001301
DO - 10.1097/MAT.0000000000001301
M3 - Article
C2 - 33021558
AN - SCOPUS:85098833853
SN - 1058-2916
VL - 67
SP - E1-E43
JO - ASAIO Journal
JF - ASAIO Journal
IS - 1
ER -