• J. Cardiothorac. Vasc. Anesth. · Oct 2020

    Review

    Clinical Management of Venoarterial Extracorporeal Membrane Oxygenation.

    • Marguerite M Hoyler, Brigid Flynn, Erin Mills Iannacone, Mandisa-Maia Jones, and Natalia S Ivascu.
    • Department of Anesthesiology, New York-Presbyterian/Weill Cornell Medical Center, New York, NY. Electronic address: mam9508@nyp.org.
    • J. Cardiothorac. Vasc. Anesth. 2020 Oct 1; 34 (10): 2776-2792.

    AbstractVenoarterial extracorporeal membrane oxygenation (ECMO) is a well-established technique to rescue patients experiencing cardiogenic shock. As a form of temporary mechanical circulatory support, venoarterial ECMO can be life-saving, but it is resource intensive and associated with substantial morbidity and mortality. Optimal clinical outcomes require specific expertise in the principles and nuances of ECMO physiology and management. Key considerations discussed in this review include hemodynamic assessment and goals; pharmacologic anticoagulation; ECMO weaning strategies; and the prevention, evaluation, and treatment of common complications.Copyright © 2020. Published by Elsevier Inc.

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