Intraoperative Management of Adult Patients on Extracorporeal Membrane Oxygenation: An Expert Consensus Statement From the Society of Cardiovascular Anesthesiologists—Part II, Intraoperative Management and Troubleshooting

Mazzeffi, Michael; Rao, Vidya K.; Dodd‐o, Jeffrey M.; Rio, J. Mauricio Del; Hernandez, Antonio; Chung, Mabel; Bardia, Amit; Bauer, Rebecca; Meltzer, Joseph; Satyapriya, Sree; Rector, Raymond; Ramsay, James G.; Gutsche, Jacob T.

doi:10.1213/ane.0000000000005733

Cited by 13 publications

(9 citation statements)

References 111 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, VV ECMO requires a normal-functioning RV in the setting of a primary pulmonary disorder. Thus, VV ECMO for PH-induced RHF can be used for acute respiratory distress and lung injury in the setting of high-dose vasopressors and inotropes 200 with the understanding that VV ECMO does not directly address RV decompensation. If RHF persists after VV ECMO deployment, an arterial cannula may be placed to aid in circulatory support, thus changing the cannula configuration to veno-arterio-venous ECMO.…”

Section: Postoperative Management Of Phmentioning

confidence: 99%

Evaluation and Management of Pulmonary Hypertension in Noncardiac Surgery: A Scientific Statement From the American Heart Association

Rajagopal¹,

Ruetzler²,

Ghadimi³

et al. 2023

Circulation

View full text Add to dashboard Cite

Pulmonary hypertension, defined as an elevation in blood pressure in the pulmonary arteries, is associated with an increased risk of death. The prevalence of pulmonary hypertension is increasing, with an aging population, a rising prevalence of heart and lung disease, and improved pulmonary hypertension survival with targeted therapies. Patients with pulmonary hypertension frequently require noncardiac surgery, although pulmonary hypertension is associated with excess perioperative morbidity and death. This scientific statement provides guidance on the evaluation and management of pulmonary hypertension in patients undergoing noncardiac surgery. We advocate for a multistep process focused on (1) classification of pulmonary hypertension group to define the underlying pathology; (2) preoperative risk assessment that will guide surgical decision-making; (3) pulmonary hypertension optimization before surgery to reduce perioperative risk; (4) intraoperative management of pulmonary hypertension to avoid right ventricular dysfunction and to maintain cardiac output; and (5) postoperative management of pulmonary hypertension to ensure recovery from surgery. Last, this scientific statement highlights the paucity of evidence to support perioperative pulmonary hypertension management and identifies areas of uncertainty and opportunities for future investigation.

show abstract

Section: Postoperative Management Of Phmentioning

confidence: 99%

Evaluation and Management of Pulmonary Hypertension in Noncardiac Surgery: A Scientific Statement From the American Heart Association

Rajagopal¹,

Ruetzler²,

Ghadimi³

et al. 2023

Circulation

View full text Add to dashboard Cite

show abstract

“…2,17 The Society of Cardiovascular Anesthesiologists is unwavering in its commitment to provide advice, assistance, and recommendations for all health care providers who enjoy the privilege of taking care of patients on ECMO. We believe the contributions from Mazzeffi et al 8,9 will help anesthesiologists and allied health caregivers to take better care of their patients.…”

mentioning

confidence: 98%

“…6 The Extracorporeal Life Support Organization (ELSO) has published guidelines for the management of ECMO patients in an intensive care setting. 7 In this edition of the Journal, Mazzeffi et al 8,9 present a 2-part consensus statement sponsored by the Society of Cardiovascular Anesthesiologists on the intraoperative management of ECMO patients. These documents aim to guide physicians in clinical decision making and to assist in standardizing care and decrease variability across different centers as ECMO practices vary significantly among different institutions.…”

mentioning

confidence: 99%

Society of Cardiovascular Anesthesiologists Consensus Statement on Intraoperative Management of Extracorporeal Membrane Oxygenation: A New Instrument in the Perioperative Medicine Toolkit

Anandamurthy

Shaw

Skubas

2021

Anesthesia &Amp; Analgesia

View full text Add to dashboard Cite

“…Recent publications have described other short-term mechanical circulatory support devices, including venoarterial extracorporeal membrane oxygenation and intraaortic balloon pump counterpulsation. 6,7 To provide clinicians with a comprehensive review, this article focuses on the perioperative management of a single device, the transvalvular heart pump.…”

mentioning

confidence: 99%

Perioperative Management of Patients Receiving Short-term Mechanical Circulatory Support with the Transvalvular Heart Pump

Wyrobek

Naka

et al. 2022

Anesthesiology

View full text Add to dashboard Cite

show abstract

Intraoperative Management of Adult Patients on Extracorporeal Membrane Oxygenation: An Expert Consensus Statement From the Society of Cardiovascular Anesthesiologists—Part II, Intraoperative Management and Troubleshooting

Cited by 13 publications

References 111 publications

Evaluation and Management of Pulmonary Hypertension in Noncardiac Surgery: A Scientific Statement From the American Heart Association

Evaluation and Management of Pulmonary Hypertension in Noncardiac Surgery: A Scientific Statement From the American Heart Association

Society of Cardiovascular Anesthesiologists Consensus Statement on Intraoperative Management of Extracorporeal Membrane Oxygenation: A New Instrument in the Perioperative Medicine Toolkit

Perioperative Management of Patients Receiving Short-term Mechanical Circulatory Support with the Transvalvular Heart Pump

Contact Info

Product

Resources

About