|Title||Clinical Management of Venoarterial Extracorporeal Membrane Oxygenation.|
|Publication Type||Journal Article|
|Year of Publication||2020|
|Authors||Hoyler MM, Flynn B, Iannacone EMills, Jones M-M, Ivascu NS|
|Journal||J Cardiothorac Vasc Anesth|
|Date Published||2020 Jan 08|
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.
|Alternate Journal||J. Cardiothorac. Vasc. Anesth.|