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2020 EACTS/ELSO/STS/AATS expert consensus on post-cardiotomy extracorporeal life support in adult patients
Lorusso, Roberto et al.
Whitman, Glenn
Milojević, Milan, 1985-
Raffa, Giuseppe
McMullan, David M.
Boeken, Udo
Haft, Jonathan
Bermudez, Christian A.
Shah, Ashish S.
D’Alessandro, David A.
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.
Appendix: https://unilib.phaidrabg.rs/o:3183
engleski
2021
© All rights reserved
Key words: post-cardiotomy extracorporeal life support, adult patients, expert consensus
10.1016/j.athoracsur.2020.07.009
128562953