2020 EACTS/ELSO/STS/AATS Expert Consensus on Post-Cardiotomy Extracorporeal Life Support in Adult Patients

Roberto Lorusso, Glenn Whitman, Milan Milojevic, Giuseppe Raffa, David M McMullan, Udo Boeken, Jonathan Haft, Christian A Bermudez, Ashish S Shah, David A D'Alessandro

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)327-369
Number of pages43
JournalAnnals of Thoracic Surgery
Volume111
Issue number1
DOIs
Publication statusE-pub ahead of print - Oct 6 2020

Keywords

  • Adult
  • Advanced Cardiac Life Support/standards
  • Anticoagulants/therapeutic use
  • Cardiac Surgical Procedures
  • Contraindications, Procedure
  • Critical Care/standards
  • Extracorporeal Membrane Oxygenation/standards
  • Humans
  • Intensive Care Units
  • Postoperative Care/standards
  • Prognosis
  • Prostheses and Implants
  • Treatment Outcome

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