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Clinical Management of Venoarterial Extracorporeal Membrane Oxygenation.

TitleClinical Management of Venoarterial Extracorporeal Membrane Oxygenation.
Publication TypeJournal Article
Year of Publication2020
AuthorsHoyler MM, Flynn B, Iannacone EMills, Jones M-M, Ivascu NS
JournalJ Cardiothorac Vasc Anesth
Date Published2020 Jan 08
ISSN1532-8422
Abstract

Venoarterial 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.

DOI10.1053/j.jvca.2019.12.047
Alternate JournalJ. Cardiothorac. Vasc. Anesth.
PubMed ID32139341