• Ann Card Anaesth · Apr 2018

    Indications and perioperative outcomes of extracorporeal life support in clermont-ferrand.

    • Abdel-Kémal Bori Bata, Adama Sawadogo, Nicolas D'ostrevy, Etienne Geoffroy, Nicolas Dauphin, Vedat Eljezi, Kasra Azarnoush, and Lionel Camilleri.
    • Department of Cardiovascular Surgery, Gabriel Montpied University Hospital, France.
    • Ann Card Anaesth. 2018 Apr 1; 21 (2): 181-184.

    ObjectivesTo report the epidemiological profile of the patients who underwent extracorporeal life support (ECLS) and then analyze the indications and outcomes of this procedure.MethodsIt consisted of a retrospective and descriptive study based on the database from the department of cardiovascular surgery.SettingUniversity hospital clinic.PatientsOne hundred and sixty-one patients have participated in the study. Included were all patients who presented with left-sided heart or biventricular failure. Those who were suffering from either isolate respiratory failure or isolate right ventricle failure were excluded.InterventionsParticipants underwent ECLS: central ECLS or peripheral ECLS.Results: The mean age of the patients was 54 years; there were 73% of male patients and the mean duration of ECLS was 5.3 days. There were two types of ECLS: central (71%) and peripheral (29%). Indications for support were dominated by cardiogenic shock in 69%. Bleeding was the most frequent complication (23.5%). The overall in-hospital mortality of patients who underwent ECLS was 60%.ConclusionThe number of ECLS performed increases in proportion to mastery of surgical technique. There is a high rate of mortality and morbidity with ECLS. However, it remains a lifesaving therapy for many clinically urgent situations.

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