Intraoperative Management of Adult Patients on Extracorporeal Membrane Oxygenation: an Expert Consensus Statement From the Society of Cardiovascular Anesthesiologists— Part II, Intraoperative Management and Troubleshooting

Published:September 23, 2021DOI:https://doi.org/10.1053/j.jvca.2021.07.047
      The Society of Cardiovascular Anesthesiologists Quality, Safety, and Leadership Committee Extracorporeal Membrane Oxygenation (ECMO) working group was composed of 12 cardiovascular-critical care anesthesiologists from adult ECMO centers in the United States. One perfusionist-ECMO manager was included in the writing group to enhance expertise on the technical aspects of ECMO. In the first stage of creating the expert consensus statement, topics related to intraoperative ECMO management were proposed by group members. A literature review for each topic was performed using MEDLINE, and articles published after 1980 were included at the discretion of group members. The specific search terms that were queried varied for each topic area.

      Glossary:

      ARDS (acute respiratory distress syndrome), COVID-19 (coronavirus disease 2019), ECMO (extracorporeal membrane oxygenation), ELSO (Extracorporeal Life Support Organization), Etco2 (end-tidal carbon dioxide), FDo2 (fractional delivered oxygen concentration), FFP (fresh frozen plasma), FIo2 (fraction of inspired oxygen), GP (glycoprotein), HIT (heparin-induced thrombocytopenia), HLS (heart-lung support), ICU (intensive care unit), INR (international normalized ratio), IU (international units), LVAD (left ventricular assist device), MAP (mean arterial pressure), PAC (pulmonary artery catheter), PCC (prothrombin complex concentrate), PEEP (positive end-expiratory pressure), PFA (platelet function analyzer), Po2 (partial pressure of oxygen), RBC (red blood cell), RPM (revolutions per minute), Spo2 (arterial oxygen saturation), TAPSE (tricuspid annular plane systolic excursion), TEE (transesophageal echocardiography), TIVA (total intravenous anesthesia), TTE (transthoracic echocardiography), VA (venoarterial), V-AV (venoarteriovenous), VE (minute ventilation), V-PA (venopulmonary arterial), VV (venovenous), VWF (Von Willebrand factor)
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