August 20, 2020 Journal article Closed Access

Lorusso, Roberto; Whitman, Glenn; Milojevic, Milan; Raffa, Giuseppe; McMullan, David M; Boeken, Udo; Haft, Jonathan; Bermudez, Christian A; Shah, Ashish S; D'Alessandro, David A

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    <subfield code="c">2020-08-20</subfield>
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    <subfield code="a">2020 EACTS/ELSO/STS/AATS expert consensus on post-cardiotomy extracorporeal life support in adult patients</subfield>
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    <subfield code="a">10.1093/ejcts/ezaa283</subfield>
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    <subfield code="a">AbstractPost-cardiotomy extracorporeal life support (PC-ECLS) in adult patients has been used only rarely but recent data have shown a remarkable increase in its use, almost certainly due to improved technology, ease of management, growing familiarity with its capability and decreased costs. Trends in worldwide in-hospital survival, however, rather than improving, have shown a decline in some experiences, likely due to increased use in more complex, critically ill patients rather than to suboptimal management. Nevertheless, PC-ECLS is proving to be a valuable resource for temporary cardiocirculatory and respiratory support in patients who would otherwise most likely die. Because a comprehensive review of PC-ECLS might be of use for the practitioner, and possibly improve patient management in this setting, the authors have attempted to create a concise, comprehensive and relevant analysis of all aspects related to PC-ECLS, with a particular emphasis on indications, technique, management and avoidance of complications, appraisal of new approaches and ethics, education and training.</subfield>
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    <subfield code="a">Lorusso, Roberto</subfield>
    <subfield code="u">Department of Cardio-Thoracic Surgery, Heart &amp; Vascular Centre, Maastricht University Medical Centre, Cardiovascular Research Institute Maastricht, Maastricht, Netherlands</subfield>
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    <subfield code="a">Cardiology and Cardiovascular Medicine</subfield>
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    <subfield code="a">Whitman, Glenn</subfield>
    <subfield code="u">Cardiovascular Surgery Intensive Care, Johns Hopkins Hospital, Baltimore, MD, USA</subfield>
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    <subfield code="a">Milojevic, Milan</subfield>
    <subfield code="u">Department of Anaesthesiology and Critical Care Medicine, Dedinje Cardiovascular Institute, Belgrade, Serbia; Department of Cardiovascular Research, Dedinje Cardiovascular Institute, Belgrade, Serbia; Department of Cardiothoracic Surgery, Erasmus University Medical Center, Rotterdam, Netherlands</subfield>
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    <subfield code="a">Raffa, Giuseppe</subfield>
    <subfield code="u">Department for the Treatment and Study of Cardiothoracic Diseases and Cardiothoracic Transplantation, IRCCS-ISMETT (Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione), Palermo, Italy</subfield>
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    <subfield code="a">McMullan, David M</subfield>
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    <subfield code="a">Boeken, Udo</subfield>
    <subfield code="u">Department of Cardiac Surgery, Heinrich Heine University, Dusseldorf, Germany</subfield>
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    <subfield code="a">Haft, Jonathan</subfield>
    <subfield code="u">Section of Cardiac Surgery, University of Michigan, Ann Arbor, MI, USA</subfield>
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    <subfield code="a">Bermudez, Christian A</subfield>
    <subfield code="u">Department of Cardiovascular Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA</subfield>
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    <subfield code="a">Shah, Ashish S</subfield>
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