2020 EACTS/ELSO/STS/AATS expert consensus on post-cardiotomy extracorporeal life support in adult patients.

{"article_title":"2020 EACTS\/ELSO\/STS\/AATS expert consensus on post-cardiotomy extracorporeal life support in adult patients.","author":"Lorusso R, Whitman G, Milojevic M, Raffa G, McMullan DM, Boeken U, Haft J, Bermudez C, Shah A, D'Alessandro DA","journal_title":"The Journal of thoracic and cardiovascular surgery","issn":"1097-685X","isbn":"","publication_date":"2021-04-01","volume":"161","issue":"4","first_page":"1287","page_count":"","accession_number":"33039139","doi":"10.1016\/j.jtcvs.2020.09.045","publisher":"Mosby","doctype":"Practice Guideline","subjects":"Extracorporeal Membrane Oxygenation; Pericardiectomy; Postoperative Care; Adult; Consensus; Humans","interest_area":["Cardiology"," Emergency Medicine"],"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. Copyright \u00a9 2020 The American Association for Thoracic Surgery. Published by Elsevier Inc. All rights reserved.","url":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&db=mdl&AN=33039139","isPdfLink":false,"isSAML":true,"an":"33039139","number_other":"","type_pub":"","issn_electronic":"1097-685X","languages":"English","language":"eng","date_entry":"Date Created: 20201011 Date Completed: 20210329 Latest Revision: 20231129","date_update":"20240105","titleSource":"The Journal of thoracic and cardiovascular surgery [J Thorac Cardiovasc Surg] 2021 Apr; Vol. 161 (4), pp. 1287-1331. Date of Electronic Publication: 2020 Oct 07.","date_pub_cy":"","type_document":"","contract_publisher":"","authored_on":"2021-04-01","description":"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.<br \/> (Copyright © 2020 The American Association for Thoracic Surgery. Published by Elsevier Inc. All rights reserved.)","upload_link":"https:\/\/go.openathens.net\/redirector\/shalina.com?url=https:\/\/resolver.ebscohost.com\/openurl?sid=EBSCO:mdl&genre=article&issn=1097685X&ISBN=&volume=161&issue=4&date=20210401&spage=1287&pages=1287-1331&title=The Journal of thoracic and cardiovascular surgery&atitle=2020%20EACTS%2FELSO%2FSTS%2FAATS%20expert%20consensus%20on%20post-cardiotomy%20extracorporeal%20life%20support%20in%20adult%20patients.&aulast=Lorusso%20R&id=DOI:10.1016\/j.jtcvs.2020.09.045&authtype=ip,shib&custid=ns346513&groupid=main&profile=eds","no_of_pages":"","authored_by":"Lorusso R, Whitman G, Milojevic M, Raffa G, McMullan DM, Boeken U, Haft J, Bermudez C, Shah A, D'Alessandro DA"}