PMID- 33191992
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20231111
IS  - 0970-9134 (Print)
IS  - 0973-7723 (Electronic)
IS  - 0970-9134 (Linking)
VI  - 37
IP  - Suppl 2
DP  - 2021 Apr
TI  - Veno-arterial extracorporeal membrane oxygenation: Special reference for use in 
      'post-cardiotomy cardiogenic shock' - A review with an Indian perspective.
PG  - 275-288
LID - 10.1007/s12055-020-01051-7 [doi]
AB  - The ultimate goals of cardiovascular physiology are to ensure adequate end-organ 
      perfusion to satisfy the local metabolic demand, to maintain homeostasis and 
      achieve 'milieu interieur'. Cardiogenic shock is a state of pump failure which 
      results in tissue hypoperfusion and its associated complications. There are a 
      wide variety of causes which lead to this deranged physiology, and one such 
      important and common scenario is the post-cardiotomy state which is encountered 
      in cardiac surgical units. Veno-arterial extracorporeal membrane oxygenation 
      (VA-ECMO) is an important modality of managing post-cardiotomy cardiogenic shock 
      with variable outcomes which would otherwise be universally fatal. VA-ECMO is 
      considered as a double-edged sword with the advantages of luxurious perfusion 
      while providing an avenue for the failing heart to recover, but with the problems 
      of anticoagulation, inflammatory and adverse systemic effects. Optimal outcomes 
      after VA-ECMO are heavily reliant on a multitude of factors and require a 
      multi-disciplinary team to handle them. This article aims to provide an insight 
      into the pathophysiology of VA-ECMO, cannulation techniques, commonly encountered 
      problems, monitoring, weaning strategies and ethical considerations along with a 
      literature review of current evidence-based practices.
CI  - (c) Indian Association of Cardiovascular-Thoracic Surgeons 2020.
FAU - Patangi, Sanjay Orathi
AU  - Patangi SO
AUID- ORCID: 0000-0002-5303-2925
AD  - Department of Anaesthesia and Intensive Care, Narayana Institute of Cardiac 
      Sciences, 258/A Hosur Road, Bommasandra Industrial Area, Anekal Taluk, Bengaluru, 
      Karnataka 560099 India. GRID: grid.416504.2. ISNI: 0000 0004 1796 819X
FAU - Shetty, Riyan Sukumar
AU  - Shetty RS
AD  - Department of Anaesthesia and Intensive Care, Narayana Institute of Cardiac 
      Sciences, 258/A Hosur Road, Bommasandra Industrial Area, Anekal Taluk, Bengaluru, 
      Karnataka 560099 India. GRID: grid.416504.2. ISNI: 0000 0004 1796 819X
FAU - Shanmugasundaram, Balasubramanian
AU  - Shanmugasundaram B
AD  - Department of Anaesthesia and Intensive Care, Narayana Institute of Cardiac 
      Sciences, 258/A Hosur Road, Bommasandra Industrial Area, Anekal Taluk, Bengaluru, 
      Karnataka 560099 India. GRID: grid.416504.2. ISNI: 0000 0004 1796 819X
FAU - Kasturi, Srikanth
AU  - Kasturi S
AD  - Department of Cardiothoracic Surgery, Narayana Institute of Cardiac Sciences, 
      Bengaluru, India. GRID: grid.416504.2. ISNI: 0000 0004 1796 819X
FAU - Raheja, Shivangi
AU  - Raheja S
AD  - Department of Cardiothoracic Surgery, Narayana Institute of Cardiac Sciences, 
      Bengaluru, India. GRID: grid.416504.2. ISNI: 0000 0004 1796 819X
LA  - eng
PT  - Journal Article
DEP - 20201107
PL  - India
TA  - Indian J Thorac Cardiovasc Surg
JT  - Indian journal of thoracic and cardiovascular surgery
JID - 8700105
PMC - PMC7647874
OTO - NOTNLM
OT  - Extracorporeal membrane oxygenation
OT  - Post-cardiotomy cardiogenic shock
COIS- Conflict of interestThe authors declare that they have no competing interests.
EDAT- 2020/11/17 06:00
MHDA- 2020/11/17 06:01
PMCR- 2022/04/01
CRDT- 2020/11/16 08:42
PHST- 2020/06/23 00:00 [received]
PHST- 2020/08/14 00:00 [revised]
PHST- 2020/09/07 00:00 [accepted]
PHST- 2020/11/17 06:00 [pubmed]
PHST- 2020/11/17 06:01 [medline]
PHST- 2020/11/16 08:42 [entrez]
PHST- 2022/04/01 00:00 [pmc-release]
AID - 1051 [pii]
AID - 10.1007/s12055-020-01051-7 [doi]
PST - ppublish
SO  - Indian J Thorac Cardiovasc Surg. 2021 Apr;37(Suppl 2):275-288. doi: 
      10.1007/s12055-020-01051-7. Epub 2020 Nov 7.