-
Review
The ABCDE approach to difficult weaning from venoarterial extracorporeal membrane oxygenation.
- Christiaan L Meuwese, Daniel Brodie, and Dirk W Donker.
- Department of Intensive Care Medicine, Erasmus Medical Center, PO Box 2040, 3000 CA, Rotterdam, The Netherlands. c.meuwese@erasmusmc.nl.
- Crit Care. 2022 Jul 15; 26 (1): 216.
AbstractVenoarterial extracorporeal membrane oxygenation (VA ECMO) has been increasingly applied in patients with cardiogenic shock in recent years. Nevertheless, many patients cannot be successfully weaned from VA ECMO support and 1-year mortality remains high. A systematic approach could help to optimize clinical management in favor of weaning by identifying important factors in individual patients. Here, we provide an overview of pivotal factors that potentially prevent successful weaning of VA ECMO. We present this through a rigorous approach following the relatable acronym ABCDE, in order to facilitate widespread use in daily practice.© 2022. The Author(s).
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