Echocardiography in extracorporeal life support: A key player in procedural guidance, tailoring and monitoring
Publication date
2018-05-01
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taverne
Abstract
Extracorporeal life support (ECLS) is a mainstay of current practice in severe respiratory, circulatory or cardiac failure refractory to conventional management. The inherent complexity of different ECLS modes and their influence on the native pulmonary and cardiovascular system require patient-specific tailoring to optimize outcome. Echocardiography plays a key role throughout the ECLS care, including patient selection, adequate placement of cannulas, monitoring, weaning and follow-up after decannulation. For this purpose, echocardiographers require specific ECLS-related knowledge and skills, which are outlined here.
Keywords
acute heart failure, acute respiratory distress syndrome (ARDS), cardiogenic shock, cardiovascular computer simulation, echocardiography, extracorporeal life support (ECLS), left ventricular unloading, ultrasound, veno-arterial extracorporeal membrane oxygenation (VA ECMO), veno-venous extracorporeal membrane oxygenation (VV ECMO), Taverne, Radiology Nuclear Medicine and imaging, Safety Research, Cardiology and Cardiovascular Medicine, Advanced and Specialised Nursing
Citation
Donker, D W, Meuwese, C L, Braithwaite, S A, Broomé, M, van der Heijden, J J, Hermens, J A, Platenkamp, M, de Jong, M, Janssen, J G D, Balík, M & Bělohlávek, J 2018, 'Echocardiography in extracorporeal life support : A key player in procedural guidance, tailoring and monitoring', Perfusion, vol. 33, no. 1_suppl, pp. 31-41. https://doi.org/10.1177/0267659118766438