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Current Anesthesiology Reports

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01-12-2019 | ECMO | Thoracic Anesthesia (T Schilling, Section Editor)

The Role of Extracorporeal Life Support in Thoracic Surgery

Authors: Torsten Loop, Johannes Kalbhenn, Axel Semmelmann

Published in: Current Anesthesiology Reports | Issue 4/2019

Abstract

Purpose of Review

Extracorporeal life support (ECLS) is a widely used potential treatment option in patients with severe respiratory or cardiac failure with increasing significance. Routine perioperative application of ECLS is applied in cardiac and rare in thoracic surgery. This review will address the extracorporeal membrane oxygenation (ECMO) technology and basic concepts, the indications in thoracic surgery, and the intraoperative management of ECMO during surgery. The most common challenges and complications, the postoperative concept, and additional forms of support will be discussed.

Recent Findings

Technological advances in ECMO components may allow complex thoracic surgical procedures in patients in whom one-lung ventilation cannot be carried out safely without risk of hypoxia or right ventricular failure.

Summary

The indications of ECLS in thoracic surgery besides lung transplantation are mainly airway resection and reconstructive surgery in patients with obstructive tracheobronchial airway diseases. Rare indications are lung surgery in patients with poor pulmonary reserve and difficulty or impossibility of one-lung ventilation. The intraoperative management of ECMO during thoracic surgery needs professional expertise.

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Title: The Role of Extracorporeal Life Support in Thoracic Surgery
Authors: Torsten Loop
Johannes Kalbhenn
Axel Semmelmann
Publication date: 01-12-2019
Publisher: Springer US
Keywords: ECMO
ECMO
Published in: Current Anesthesiology Reports / Issue 4/2019
Electronic ISSN: 2167-6275
DOI: https://doi.org/10.1007/s40140-019-00362-9

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Springer Medicine

The Role of Extracorporeal Life Support in Thoracic Surgery

Abstract

Purpose of Review

Recent Findings

Summary

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Abstract

Purpose of Review

Recent Findings

Summary

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