PMID- 35768382 OWN - NLM STAT- MEDLINE DCOM- 20220701 LR - 20220701 IS - 0376-2491 (Print) IS - 0376-2491 (Linking) VI - 102 IP - 25 DP - 2022 Jul 5 TI - [Initiation timing of veno-arterial extracorporeal membrane oxygenation]. PG - 1874-1877 LID - 10.3760/cma.j.cn112137-20220415-00817 [doi] AB - Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) is a salvage therapy for critical patients with refractory cardiogenic shock caused by various reasons. It can temporarily replace cardiopulmonary function, and rapidly improve hypoxemia, increase systemic oxygen content and remove carbon dioxide. Although the Extracorporeal Life Support Organization (ELSO) guideline proposed clear indication for VA-ECMO, the heterogeneity of cardiac pathogeny is large, so the clear timing of ECMO initiation is still vague. We discuss the timing of ECMO initiation for external cardiopulmonary resuscitation (ECPR) and cardiogenic shock which is caused by fulminant myocarditis, acute myocardial infarction, acute pulmonary embolism, acute right heart failure related to lung transplantation, corona virus disease 2019 (COVID-19)-associated cardiovascular collapse. Also, we look forward to making more suggestions for clinicians' judgment and choice for VA-ECMO. FAU - Li, J J AU - Li JJ AD - Department of Intensive Care Unit, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu 610072, China. FAU - Luo, X X AU - Luo XX AD - Department of Intensive Care Unit, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu 610072, China. FAU - Huang, X B AU - Huang XB AD - Department of Intensive Care Unit, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu 610072, China. LA - chi PT - Journal Article PL - China TA - Zhonghua Yi Xue Za Zhi JT - Zhonghua yi xue za zhi JID - 7511141 SB - IM MH - *COVID-19 MH - *Cardiopulmonary Resuscitation MH - *Extracorporeal Membrane Oxygenation/adverse effects MH - Humans MH - *Pulmonary Embolism MH - Retrospective Studies MH - Shock, Cardiogenic/therapy EDAT- 2022/06/30 06:00 MHDA- 2022/07/02 06:00 CRDT- 2022/06/29 23:02 PHST- 2022/06/29 23:02 [entrez] PHST- 2022/06/30 06:00 [pubmed] PHST- 2022/07/02 06:00 [medline] AID - 10.3760/cma.j.cn112137-20220415-00817 [doi] PST - ppublish SO - Zhonghua Yi Xue Za Zhi. 2022 Jul 5;102(25):1874-1877. doi: 10.3760/cma.j.cn112137-20220415-00817.