Intraoperative management of a hybrid extracorporeal membrane oxygenation circuit for lung transplantation.
J Card Surg
; 35(12): 3560-3563, 2020 Dec.
Article
em En
| MEDLINE
| ID: mdl-32939826
ABSTRACT
BACKGROUND:
The use of extracorporeal circulation (ECC) for intraoperative cardiopulmonary support during lung transplantation has been increasing in the recent years. Our group previously described a novel hybrid extracorporeal membrane oxygenation (ECMO) circuit for use in lung transplantation. TECHNIQUE Our approach for intraoperative management of our novel hybrid ECMO circuit for lung transplantation is driven by two main goals The first is to deliver management that ensures an appropriate balance between the native and ECMO cardiac outputs in order to provide a stable environment that promotes attenuation of ischemic-reperfusion injury during implantation. The second is to provide a stable hemodynamic environment that results in an appropriate global perfusion guided by multiple monitors and an organ systems-based approach during implantation.COMMENTS:
Our novel technique for intraoperative management of this circuit during lung transplantation is described.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Oxigenação por Membrana Extracorpórea
/
Transplante de Pulmão
Tipo de estudo:
Observational_studies
Limite:
Humans
Idioma:
En
Revista:
J Card Surg
Ano de publicação:
2020
Tipo de documento:
Article