Literature DB >> 33967444

The physiological basis of clinical decision-making in venoarterial extracorporeal life support.

Paul Ramesh Thangaraj1,2.   

Abstract

Venoarterial (VA) extracorporeal life support (ECLS) or extracorporeal membrane oxygenation (ECMO) as it is commonly known is used in many clinical situations to support both the pumping action of the heart and the gas exchange function of the lungs. This review hopes to refresh, in the mind of the reader, aspects of basic physiological principles that have relevance in VA ECLS therapy. The dynamics of the interaction of the machine with the patient and vice versa plays an important role in clinical outcome. An understanding of the variation from normal physiology imposed both by the machine and the disease process will help make enlightened decisions in the use of this challenging therapy. The key physiological changes during initiation, maintenance, and weaning are discussed as well as certain specific clinical scenarios. © Indian Association of Cardiovascular-Thoracic Surgeons 2020.

Entities:  

Keywords:  Clinical decision-making in ECPR; ECMO; Physiology; Sepsis; Venoarterial ECMO

Year:  2020        PMID： 33967444      PMCID： PMC8062642          DOI： 10.1007/s12055-020-01064-2

Source DB:  PubMed          Journal:  Indian J Thorac Cardiovasc Surg        ISSN： 0970-9134


  19 in total

1.  Post-cardiac arrest syndrome: epidemiology, pathophysiology, treatment, and prognostication. A consensus statement from the International Liaison Committee on Resuscitation (American Heart Association, Australian and New Zealand Council on Resuscitation, European Resuscitation Council, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Council of Asia, and the Resuscitation Council of Southern Africa); the American Heart Association Emergency Cardiovascular Care Committee; the Council on Cardiovascular Surgery and Anesthesia; the Council on Cardiopulmonary, Perioperative, and Critical Care; the Council on Clinical Cardiology; and the Stroke Council.

Authors:  Robert W Neumar; Jerry P Nolan; Christophe Adrie; Mayuki Aibiki; Robert A Berg; Bernd W Böttiger; Clifton Callaway; Robert S B Clark; Romergryko G Geocadin; Edward C Jauch; Karl B Kern; Ivan Laurent; W T Longstreth; Raina M Merchant; Peter Morley; Laurie J Morrison; Vinay Nadkarni; Mary Ann Peberdy; Emanuel P Rivers; Antonio Rodriguez-Nunez; Frank W Sellke; Christian Spaulding; Kjetil Sunde; Terry Vanden Hoek
Journal:  Circulation       Date:  2008-10-23       Impact factor: 29.690

2.  Prediction of the impact of venoarterial extracorporeal membrane oxygenation on hemodynamics.

Authors:  Kazuo Sakamoto; Keita Saku; Takuya Kishi; Takamori Kakino; Atsushi Tanaka; Takafumi Sakamoto; Tomomi Ide; Kenji Sunagawa
Journal:  Am J Physiol Heart Circ Physiol       Date:  2015-02-06       Impact factor: 4.733

Review 3.  Hemodynamic classifications of acute heart failure and their clinical application: – an update –.

Authors:  Sunu S Thomas; Anju Nohria
Journal:  Circ J       Date:  2012-01-12       Impact factor: 2.993

4.  The Early Change in PaCO2 after Extracorporeal Membrane Oxygenation Initiation Is Associated with Neurological Complications.

Authors:  Yiorgos Alexandros Cavayas; Laveena Munshi; Lorenzo Del Sorbo; Eddy Fan
Journal:  Am J Respir Crit Care Med       Date:  2020-06-15       Impact factor: 21.405

5.  Predictors of survival in adults undergoing extracorporeal membrane oxygenation with severe infections.

Authors:  Aristine Cheng; Hsin-Yun Sun; Mao-Song Tsai; Wen-Je Ko; Pi-Ru Tsai; Fu-Chang Hu; Yee-Chun Chen; Shan-Chwen Chang
Journal:  J Thorac Cardiovasc Surg       Date:  2016-08-30       Impact factor: 5.209

Review 6.  Venoarterial Extracorporeal Membrane Oxygenation for Cardiogenic Shock and Cardiac Arrest.

Authors:  Prashant Rao; Zain Khalpey; Richard Smith; Daniel Burkhoff; Robb D Kociol
Journal:  Circ Heart Fail       Date:  2018-09       Impact factor: 8.790

Review 7.  Extracorporeal membrane oxygenation for refractory cardiac arrest.

Authors:  Steven A Conrad; Peter T Rycus
Journal:  Ann Card Anaesth       Date:  2017-01

Review 8.  Clinical Pearls of Venoarterial Extracorporeal Membrane Oxygenation for Cardiogenic Shock.

Authors:  Min Suk Choi; Kiick Sung; Yang Hyun Cho
Journal:  Korean Circ J       Date:  2019-08       Impact factor: 3.243

9.  Transfusion strategies in non-bleeding critically ill adults: a clinical practice guideline from the European Society of Intensive Care Medicine.

Authors:  Alexander P Vlaar; Simon Oczkowski; Sanne de Bruin; Marije Wijnberge; Massimo Antonelli; Cecile Aubron; Philippe Aries; Jacques Duranteau; Nicole P Juffermans; Jens Meier; Gavin J Murphy; Riccardo Abbasciano; Marcella Muller; Akshay Shah; Anders Perner; Sofie Rygaard; Timothy S Walsh; Gordon Guyatt; J C Dionne; Maurizio Cecconi
Journal:  Intensive Care Med       Date:  2020-01-07       Impact factor: 17.440

10.  Gas exchange calculation may estimate changes in pulmonary blood flow during veno-arterial extracorporeal membrane oxygenation in a porcine model.

Authors:  Kaspar F Bachmann; Matthias Haenggi; Stephan M Jakob; Jukka Takala; Luciano Gattinoni; David Berger
Journal:  Am J Physiol Lung Cell Mol Physiol       Date:  2020-04-15       Impact factor: 5.464
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