Intraoperative Management of Adult Patients on Extracorporeal Membrane Oxygenation: an Expert Consensus Statement From the Society of Cardiovascular Anesthesiologists—Part I, Technical Aspects of Extracorporeal Membrane Oxygenation

Published:September 23, 2021DOI:https://doi.org/10.1053/j.jvca.2021.07.046
      Extracorporeal membrane oxygenation (ECMO) is used to support patients with refractory cardiopulmonary failure. Given ECMO's increased use in adults and the fact that many ECMO patients are cared for by anesthesiologists, the Society of Cardiovascular Anesthesiologists ECMO working group created an expert consensus statement that is intended to help anesthesiologists manage adult ECMO patients who are cared for in the operating room. In the first part of this 2-part series, technical aspects of ECMO are discussed, and related expert consensus statements are provided.

      Glossary:

      ACT (activated clotting time), aPTT (activated partial thromboplastin time), ARDS (acute respiratory distress syndrome), AT (antithrombin), AUROC (area under the receiver operating characteristic curve), BMI (body mass index), CHF (congestive heart failure), CI (confidence interval), COPD (chronic obstructive pulmonary disease), CPB (cardiopulmonary bypass), CRRT (continuous renal replacement therapy), ECMO (extracorporeal membrane oxygenation), EPCR (extracorporeal cardiopulmonary resuscitation), ELSO (extracorporeal life support organization), ENCOURAGE (prediction of cardiogenic shock outcome for acute myocardial infarction patients salvaged by VA-ECMO), GCS (Glasgow coma score), GFR (glomerular filtration rate), GP (glycoprotein), HIT (heparin-induced thrombocytopenia), ICM (ischemic cardiomyopathy), INR (international normalized ratio), IPF (interstitial pulmonary fibrosis), IVC (inferior vena cava), LMWH (low molecular weight heparin), LPM (liters per minute), LVAD (left ventricular assist device), NICM (nonischemic cardiomyopathy), PECLA (pumpless extra corporeal lung), PRESERVE (predicting death for severe ARDS on VV-ECMO), RESP (respiratory ECMO survival prediction), RPM (revolutions per minute), RRT (renal replacement therapy), SARS-CoV-2 (severe acute respiratory syndrome coronavirus-2), SAVE (survival after venoarterial ECMO), SOFA (sepsis-related organ failure assessment), SVC (superior vena cava), V-AV (venoarteriovenous), V-PA (venopulmonary arterial), VA (venoarterial), VV (venovenous), VWF (von Willebrand Factor)
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