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

Published

Journal Article (Review)

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.

Full Text

Duke Authors

Cited Authors

  • Eckman, PM; Katz, JN; El Banayosy, A; Bohula, EA; Sun, B; van Diepen, S

Published Date

  • December 10, 2019

Published In

Volume / Issue

  • 140 / 24

Start / End Page

  • 2019 - 2037

PubMed ID

  • 31815538

Pubmed Central ID

  • 31815538

Electronic International Standard Serial Number (EISSN)

  • 1524-4539

Digital Object Identifier (DOI)

  • 10.1161/CIRCULATIONAHA.119.034512

Language

  • eng

Conference Location

  • United States