Intraoperative Management of Adult Patients on Extracorporeal Membrane Oxygenation: An Expert Consensus Statement From the Society of Cardiovascular Anesthesiologists-Part II, Intraoperative Management and Troubleshooting

Affiliations

¹ From the Department of Anesthesiology and Critical Care Medicine, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia.
² Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Palo Alton, California.
³ Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
⁴ Department of Anesthesiology, Duke University School of Medicine, Durham, North Carolina.
⁵ Department of Anesthesiology, Vanderbilt University School of Medicine, Nashville, Tennessee.
⁶ Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Harvard University School of Medicine, Boston, Massachusetts.
⁷ Department of Anesthesiology, Yale University School of Medicine, New Haven, Connecticut.
⁸ Department of Anesthesiology, University of Massachusetts School of Medicine, Worcester, Massachusetts.
⁹ Department of Anesthesiology and Perioperative Medicine, University of California Los Angeles School of Medicine, Los Angeles, California.
¹⁰ Department of Anesthesiology, Ohio State University School of Medicine, Columbus, Ohio.
¹¹ Department of Surgery, Division of Cardiothoracic Surgery, University of Maryland Medical Center, Baltimore, Maryland.
¹² Department of Anesthesia and Perioperative Care, University of California San Francisco School of Medicine, San Francisco, California.
¹³ Department of Anesthesiology and Critical Care, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania.

PMID: 34559091
DOI: 10.1213/ANE.0000000000005733

Review

Intraoperative Management of Adult Patients on Extracorporeal Membrane Oxygenation: An Expert Consensus Statement From the Society of Cardiovascular Anesthesiologists-Part II, Intraoperative Management and Troubleshooting

Michael A Mazzeffi et al. Anesth Analg. 2021.

. 2021 Dec 1;133(6):1478-1493.

doi: 10.1213/ANE.0000000000005733.

Authors

Affiliations

¹ From the Department of Anesthesiology and Critical Care Medicine, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia.
² Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Palo Alton, California.
³ Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
⁴ Department of Anesthesiology, Duke University School of Medicine, Durham, North Carolina.
⁵ Department of Anesthesiology, Vanderbilt University School of Medicine, Nashville, Tennessee.
⁶ Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Harvard University School of Medicine, Boston, Massachusetts.
⁷ Department of Anesthesiology, Yale University School of Medicine, New Haven, Connecticut.
⁸ Department of Anesthesiology, University of Massachusetts School of Medicine, Worcester, Massachusetts.
⁹ Department of Anesthesiology and Perioperative Medicine, University of California Los Angeles School of Medicine, Los Angeles, California.
¹⁰ Department of Anesthesiology, Ohio State University School of Medicine, Columbus, Ohio.
¹¹ Department of Surgery, Division of Cardiothoracic Surgery, University of Maryland Medical Center, Baltimore, Maryland.
¹² Department of Anesthesia and Perioperative Care, University of California San Francisco School of Medicine, San Francisco, California.
¹³ Department of Anesthesiology and Critical Care, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania.

PMID: 34559091
DOI: 10.1213/ANE.0000000000005733

Abstract

In the second part of the Society of Cardiovascular Anesthesiologists Extracorporeal Membrane Oxygenation (ECMO) working group expert consensus statement, venoarterial (VA) and venovenous (VV) ECMO management and troubleshooting in the operating room are discussed. Expert consensus statements are provided about intraoperative monitoring, anesthetic drug dosing, and management of intraoperative problems in VA and VV ECMO patients.

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Conflict of interest statement

The authoMrs declare no conflicts of interest.

Comment in

Society of Cardiovascular Anesthesiologists Consensus Statement on Intraoperative Management of Extracorporeal Membrane Oxygenation: A New Instrument in the Perioperative Medicine Toolkit.
Anandamurthy B, Shaw A, Skubas NJ. Anandamurthy B, et al. Anesth Analg. 2021 Dec 1;133(6):1456-1458. doi: 10.1213/ANE.0000000000005792. Anesth Analg. 2021. PMID: 34784332 No abstract available.

References

1. Handy JR, Bremner RM, Crocenzi TS, et al. Expert consensus document on pulmonary metastasectomy. Ann Thorac Surg. 2019;107:631–649.
1. Kurihara C, Walter JM, Karim A, et al. Feasibility of venovenous extracorporeal membrane oxygenation without systemic anticoagulation. Ann Thorac Surg. 2020;110:1209–1215.
1. Wood KL, Ayers B, Gosev I, et al. Venoarterial-extracorporeal membrane oxygenation without routine systemic anticoagulation decreases adverse events. Ann Thorac Surg. 2020;109:1458–1466.
1. Fisser C, Reichenbächer C, Müller T, et al. Incidence and risk factors for cannula-related venous thrombosis after venovenous extracorporeal membrane oxygenation in adult patients with acute respiratory failure. Crit Care Med. 2019;47:e332–e339.
1. Olson SR, Murphree CR, Zonies D, et al. Thrombosis and bleeding in extracorporeal membrane oxygenation (ECMO) without anticoagulation: a systematic review. ASAIO J. 2021;67:290–296.

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Intraoperative Management of Adult Patients on Extracorporeal Membrane Oxygenation: An Expert Consensus Statement From the Society of Cardiovascular Anesthesiologists-Part II, Intraoperative Management and Troubleshooting

Affiliations

Intraoperative Management of Adult Patients on Extracorporeal Membrane Oxygenation: An Expert Consensus Statement From the Society of Cardiovascular Anesthesiologists-Part II, Intraoperative Management and Troubleshooting

Authors

Affiliations

Abstract

Conflict of interest statement

Comment in

References

Publication types

MeSH terms

Substances

Grants and funding

LinkOut - more resources

Full Text Sources