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Review
. 2021 May 31;11(6):416.
doi: 10.3390/membranes11060416.

Extracorporeal Membrane Oxygenation Use in Thoracic Surgery

Pavel Suk  1   2   3 , Vladimír Šrámek  2   3 , Ivan Čundrle Jr  1   2   3
Affiliations
Review

Extracorporeal Membrane Oxygenation Use in Thoracic Surgery

Pavel Suk et al. Membranes (Basel). .

Abstract

This narrative review is focused on the application of extracorporeal membrane oxygenation (ECMO) in thoracic surgery, exclusive of lung transplantation. Although the use of ECMO in this indication is still rare, it allows surgery to be performed in patients where conventional ventilation is not feasible-especially in single lung patients, sleeve lobectomy or pneumonectomy and tracheal or carinal reconstructions. Comparisons with other techniques, various ECMO configurations, the management of anticoagulation, anesthesia, hypoxemia during surgery and the use of ECMO in case of postoperative respiratory failure are reviewed and supported by two cases of perioperative ECMO use, and an overview of published case series.

Keywords: carinal resection; extracorporeal membrane oxygenation; lung resection; thoracic surgery; tracheal resection.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Radiographic images of presented cases: (a) Postoperative chest X-ray of a patient after left-sided double atypical resection and previous right-sided pneumonectomy (ECMO cannulas introduced via right internal jugular and femoral veins); (b) Preoperative CT scan of a patient with bilateral COVID-19 pneumonia with a ground glass and crazy paving pattern and left-sided pneumothorax.
See this image and copyright information in PMC

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