Venovenous Extracorporeal Life Support for Patients After Cardiotomy

Smedira, Nicholas G.; Wudel, James H.; Hlozek, Christopher C.; Cosgrove, Delos M.; McCarthy, Patrick M.

doi:10.1097/00002480-199709000-00018

Cited by 4 publications

(3 citation statements)

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“…With increased experience we became more aggressive, using ECMO before LVAD implantation for these moribund patients, and this may explain why the screening scale was not able to accurately predict failures after LVAD insertion in our more recent experience. 17,18 Survival to transplantation for our 25 patients supported by ECMO before LVAD insertion was 68%.…”

Section: Discussionmentioning

confidence: 95%

One hundred patients with the HeartMate left ventricular assist device: evolving concepts and technology

McCarthy¹,

Smedira²,

Vargo³

et al. 1998

The Journal of Thoracic and Cardiovascular Surgery

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238

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Section: Discussionmentioning

confidence: 95%

One hundred patients with the HeartMate left ventricular assist device: evolving concepts and technology

McCarthy¹,

Smedira²,

Vargo³

et al. 1998

The Journal of Thoracic and Cardiovascular Surgery

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238

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“…ELSO does not release data on individual ECLS centers so we cannot determine influence of centers on patient selection or outcome. These limitations and the paucity of data in the literature regarding use of VV ECLS for cardiac patients (19) underscore the need for careful study of the use of VV ECLS in this population.…”

Section: Discussionmentioning

confidence: 99%

A qualitative study of expert and team cognition on complex patients in the pediatric intensive care unit*

Custer

White

Fackler

et al. 2012

Pediatric Critical Care Medicine

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An inadequately developed or inadequately shared mental model is a substantial cognitive limitation for expert and team cognition in the complex environment of the pediatric intensive care unit. Providers utilize techniques that may avoid or decrease the variable interpretations of patient condition that would otherwise impair mental model formation and sharing. Future studies should be designed to enhance mental model formation and communication in the pediatric intensive care unit and other environments that deal with complex patients.

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“…While the etiology of these poor outcomes is multifactorial, contributing factors likely include pre‐ECMO patient selection, the high incidence of intracranial hemorrhage and inadequate LV unloading precluding sufficient myocardial recovery. Even when used solely for postcardiotomy respiratory support, patient survival with ECMO has been poor 7 …”

Section: Commentsmentioning

confidence: 99%

Novel Use of an FDA-Approved BiVAD for Total Cardiopulmonary Support

Kaplon¹,

Nejman

Andreopoulos³

et al. 2003

Journal of Cardiac Surgery

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We describe the use of an Abiomed BVS 5000i with an oxygenator spliced into the right side for total cardiopulmonary support after orthotopic heart transplantation. As compared to ECMO, we believe that the mechanical ventricular unloading seen with this type of assist device increases the likelihood of myocardial recovery. This report demonstrates that even with an in-line oxygenator, adequate flow can be delivered to both the RVAD and LVAD, providing complete cardiopulmonary support.

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Venovenous Extracorporeal Life Support for Patients After Cardiotomy

Cited by 4 publications

References 0 publications

One hundred patients with the HeartMate left ventricular assist device: evolving concepts and technology

One hundred patients with the HeartMate left ventricular assist device: evolving concepts and technology

A qualitative study of expert and team cognition on complex patients in the pediatric intensive care unit*

Novel Use of an FDA-Approved BiVAD for Total Cardiopulmonary Support

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