Veno-Arterial Extracorporeal Membrane Oxygenation for Cardiogenic Shock An Introduction for the Busy Clinician

Article

关键词: HOSPITAL CARDIAC-ARREST;    QUALITY-OF-LIFE;    PERCUTANEOUS CORONARY INTERVENTION;    MECHANICAL CIRCULATORY SUPPORT;    ACUTE MYOCARDIAL-INFARCTION;    CARDIOPULMONARY-RESUSCITATION;    HEART-TRANSPLANTATION;    SHORT-TERM;    SUPRAINSTITUTIONAL NETWORK;    INTERNATIONAL SOCIETY;   

DOI  :  10.1161/CIRCULATIONAHA.119.034512

来源: SCIE

【 摘 要 】

Extracorporeal membrane oxygenation has evolved, from a therapy that was selectively applied in the pediatric population in tertiary centers, to more widespread use in diverse forms of cardiopulmonary failure in all ages. We provide a practical review for cardiovascular clinicians on the application of veno-arterial extracorporeal membrane oxygenation in adult patients with cardiogenic shock, including epidemiology of cardiogenic shock, indications, contraindications, and the extracorporeal membrane oxygenation circuit. We also summarize cannulation techniques, practical management and troubleshooting, prognosis, and weaning and exit strategies, with attention to end of life and ethical considerations.

【 授权许可】

Free