Veno-Arterial-ECMO in the Intensive Care Unit:From Technical Aspects to Clinical Practice - Archive ouverte HAL Access content directly
Journal Articles Anaesthesia Critical Care & Pain Medicine Year : 2017

Veno-Arterial-ECMO in the Intensive Care Unit:From Technical Aspects to Clinical Practice

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Abstract

The use of Veno-Arterial ExtraCorporeal Membrane Oxygenation (VA-ECMO) as a salvage therapy in cardiogenic shock is becoming of current practice. While VA-ECMO is potentially a life-saving technique, results are sometimes mitigated, emphasizing the need for selecting the right indication in the right patient. This relies upon a clear definition of the individual therapeutic project, including the potential for recovery as well as the possible complications associated with VA-ECMO. To maximize the benefits of VA-ECMO, the basics of extracorporeal circulation should be perfectly understood since VA-ECMO can sometimes be detrimental. Hence, to be successful, VA-ECMO should be used by teams with sufficient experience and initiated after a thorough multidisciplinary discussion considering patient’s medical history, pathology as well the anticipated evolution of the disease.
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Dates and versions

hal-01629078 , version 1 (06-11-2017)

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Arthur Le Gall, Arnaud Follin, Bernard Cholley, Jean Mantz, Nadia Aissaoui, et al.. Veno-Arterial-ECMO in the Intensive Care Unit:From Technical Aspects to Clinical Practice. Anaesthesia Critical Care & Pain Medicine, 2017, pp.1-43. ⟨10.1016/j.accpm.2017.08.007⟩. ⟨hal-01629078⟩
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