PMID- 31720177
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200928
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 11
IP  - 9
DP  - 2019 Sep 20
TI  - The Patient Selection Criteria for Veno-arterial Extracorporeal Mechanical 
      Oxygenation.
PG  - e5709
LID - 10.7759/cureus.5709 [doi]
LID - e5709
AB  - Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) plays a crucial role 
      in the management of patients with refractory cardiac and pulmonary dysfunction 
      by providing temporary mechanical hemodynamic and respiratory support. 
      However, the paucity of guidelines on indications for administering it and the 
      failure to timely initiate VA-ECMO often result in a high in-hospital mortality 
      rate and poor six-month outcomes after VA-ECMO deployment. Due to ethical issues, 
      randomized controlled studies with VA-ECMO have not been conducted so that no 
      recommended evidence-based guidelines exist for VA-ECMO patient-selection 
      criteria. Therefore, the indication for administering the device depends solely 
      on expert opinion after reviewing the literature. We conducted a review of the 
      current literature to better understand and classify the need for proper patient 
      selection, including proven indications for VA-ECMO.
CI  - Copyright (c) 2019, Banga et al.
FAU - Banga, Sandeep
AU  - Banga S
AD  - Cardiology, West Virginia University School of Medicine, Morgantown, USA.
FAU - Challa, Abhiram
AU  - Challa A
AD  - Internal Medicine, West Virginia University School of Medicine, Morgantown, USA.
FAU - Patel, Avani R
AU  - Patel AR
AD  - Internal Medicine, Northern California Kaiser Permanente, Fremont, USA.
FAU - Singh, Shantanu
AU  - Singh S
AD  - Pulmonary Medicine, Marshall University School of Medicine, Huntington, USA.
FAU - Emani, Vamsi K
AU  - Emani VK
AD  - Internal Medicine, University of Illinois College of Medicine at Peoria, Order of 
      St. Francis Medical Centre, Peoria, USA.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20190920
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC6823087
OTO - NOTNLM
OT  - cardiac arrest
OT  - cardiogenic shock
OT  - extracorporeal membrane oxygenation (ecmo)
OT  - venoarterial extracorporeal membrane oxygenation (va-ecmo)
COIS- The authors have declared that no competing interests exist.
EDAT- 2019/11/14 06:00
MHDA- 2019/11/14 06:01
PMCR- 2019/09/20
CRDT- 2019/11/14 06:00
PHST- 2019/11/14 06:00 [entrez]
PHST- 2019/11/14 06:00 [pubmed]
PHST- 2019/11/14 06:01 [medline]
PHST- 2019/09/20 00:00 [pmc-release]
AID - 10.7759/cureus.5709 [doi]
PST - epublish
SO  - Cureus. 2019 Sep 20;11(9):e5709. doi: 10.7759/cureus.5709.