Thoracic Surgical Procedures Supported by a Pumpless Interventional Lung Assist

Wiebe, Karsten; Poeling, Jochen; Arlt, Matthias; Philipp, Alois; Camboni, Daniele; Hofmann, Sebastian; Schmid, Çhristof

doi:10.1016/j.athoracsur.2010.03.012

Cited by 35 publications

(17 citation statements)

References 27 publications

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“…Similarly, patients undergoing thoracic procedures with major blood loss will also develop a deficiency of platelets, fibrinogen and other clotting factors, which will prolong coagulation in the absence of heparin. There are multiple reports of surgical interventions with high bleeding risk using ECLS without heparin (19,30,32,36,37). In our institution, we routinely target an ACT of 160-180 s intraoperatively.…”

Section: Planning Thoracic Surgery Procedures With Ecls Supportmentioning

confidence: 99%

“…Pumpless AV ECMO has also been used to facilitate wedge resection and decortication in post pneumonectomy patients (30).…”

Section: Difficult or Impossible One Lung Ventilation (Olv)mentioning

confidence: 99%

“…Apneic oxygenation was provided via a small endotracheal tube at the carina, allowing 12 hours of surgery without ventilation of the lungs (29). Tracheal resection has also been described with AV ECMO (30). When VV-ECMO provides insufficient oxygenation during tracheal surgery, supplemental catheter oxygen insufflation had also been used (27).…”

Section: Airway Surgerymentioning

confidence: 99%

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Principles and indications of extracorporeal life support in general thoracic surgery

McRae¹,

Perrot²

2018

J. Thorac. Dis.

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The role of extracorporeal life support (ECLS) has expanded rapidly over the past 15 years to become an important tool in advanced general thoracic surgery practice. Intra-operative and in some cases continued post-operative ECLS is redefining the scope of complex surgical care. ECLS encompasses a spectrum of temporary mechanical support that may remove CO 2 , oxygenate or provide hemodynamic support or a combination thereof. The most common modalities used in general thoracic surgery include extracorporeal membrane oxygenation (ECMO), interventional lung assist device (iLA ® Novalung ® , Heilbronn, Germany), and extracorporeal CO 2 removal (ECCO 2 R). The ECMO and Novalung ® devices can be used in different modes for the short term or long-term support depending on the situation. In this review, the principles and current applications of ECLS in general thoracic surgery are presented.

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Section: Planning Thoracic Surgery Procedures With Ecls Supportmentioning

confidence: 99%

“…Pumpless AV ECMO has also been used to facilitate wedge resection and decortication in post pneumonectomy patients (30).…”

Section: Difficult or Impossible One Lung Ventilation (Olv)mentioning

confidence: 99%

Section: Airway Surgerymentioning

confidence: 99%

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Principles and indications of extracorporeal life support in general thoracic surgery

McRae¹,

Perrot²

2018

J. Thorac. Dis.

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“…There are a number of reports of its use in other clinical scenarios, namely, as a bridge to transplant, 11,25 in combined head and chest injury, 7,8,26 in near fatal asthma, [27][28][29] as an aid to weaning from mechanical ventilation, 12,30 to facilitate thoracic surgery 19,22,31 and to facilitate transfer. 32,33 However, these are all case reports or very small case series and as such do not provide any definitive evidence of benefit.…”

Section: Current Evidencementioning

confidence: 99%

Extracorporeal Carbon Dioxide Removal (ECCO₂R) in Respiratory Failure: An Overview, and where Next?

Baker

Richardson

Craig

2012

Journal of the Intensive Care Society

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Extracorporeal carbon dioxide removal (ECCO2R) is used to facilitate protective ventilation strategies and to treat severe hypercapnic acidosis that is refractory to mechanical ventilation. There is an increasing amount of interest in the use of ECCO2R but there are no recommendations for its use that take the most recent evidence into account. In 2008, the National Institute of Health and Clinical Excellence (NICE) published guidelines on ‘Arteriovenous Extracorporeal Membrane Carbon Dioxide Removal.’1 However, since that time there have been a number of studies in the area and some significant technological advances including the introduction of commercially available VV-ECCO2R systems. The aim of this article is to provide an overview of ECCO2R, review the literature relating to its use and discuss its future role in the intensive care setting.

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“…He was treated as an outpatient with a fluoroquinolone for 3 lung transplantation, (8) and major thoracic surgery. (9) In an attempt to treat acidosis, iLA is often used in combination with renal replacement therapies. (10) Absolute contraindications to iLA use include heparin-induced thrombocytopenia, severe septic shock, severe cardiogenic shock, and a body weight of less than 20 kg.…”

Section: Letter To the Editormentioning

confidence: 99%

Relato de dois casos de pacientes com SARA tratados com membrana extracorpórea de troca gasosa sem bomba

et al. 2012

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Thoracic Surgical Procedures Supported by a Pumpless Interventional Lung Assist

Cited by 35 publications

References 27 publications

Principles and indications of extracorporeal life support in general thoracic surgery

Principles and indications of extracorporeal life support in general thoracic surgery

Extracorporeal Carbon Dioxide Removal (ECCO₂R) in Respiratory Failure: An Overview, and where Next?

Relato de dois casos de pacientes com SARA tratados com membrana extracorpórea de troca gasosa sem bomba

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Thoracic Surgical Procedures Supported by a Pumpless Interventional Lung Assist

Cited by 35 publications

References 27 publications

Principles and indications of extracorporeal life support in general thoracic surgery

Principles and indications of extracorporeal life support in general thoracic surgery

Extracorporeal Carbon Dioxide Removal (ECCO2R) in Respiratory Failure: An Overview, and where Next?

Relato de dois casos de pacientes com SARA tratados com membrana extracorpórea de troca gasosa sem bomba

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Extracorporeal Carbon Dioxide Removal (ECCO₂R) in Respiratory Failure: An Overview, and where Next?