The Patient Selection Criteria for Veno-arterial Extracorporeal Mechanical Oxygenation.
cardiac arrest
cardiogenic shock
extracorporeal membrane oxygenation (ecmo)
venoarterial extracorporeal membrane oxygenation (va-ecmo)
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
20 Sep 2019
20 Sep 2019
Historique:
entrez:
14
11
2019
pubmed:
14
11
2019
medline:
14
11
2019
Statut:
epublish
Résumé
Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) plays a crucial role in the management of patients with refractory cardiac and pulmonary dysfunction by providing temporary mechanical hemodynamic and respiratory support. However, the paucity of guidelines on indications for administering it and the failure to timely initiate VA-ECMO often result in a high in-hospital mortality rate and poor six-month outcomes after VA-ECMO deployment. Due to ethical issues, randomized controlled studies with VA-ECMO have not been conducted so that no recommended evidence-based guidelines exist for VA-ECMO patient-selection criteria. Therefore, the indication for administering the device depends solely on expert opinion after reviewing the literature. We conducted a review of the current literature to better understand and classify the need for proper patient selection, including proven indications for VA-ECMO.
Identifiants
pubmed: 31720177
doi: 10.7759/cureus.5709
pmc: PMC6823087
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
e5709Informations de copyright
Copyright © 2019, Banga et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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