Skip to main content
Top
Published in: Journal of Translational Medicine 1/2016

Open Access 01-12-2016 | Commentary

Individualized real-time clinical decision support to monitor cardiac loading during venoarterial ECMO

Authors: Michael Broomé, Dirk W. Donker

Published in: Journal of Translational Medicine | Issue 1/2016

Login to get access

Abstract

Veno-arterial extracoporeal membrane oxygenation (VA ECMO) is increasingly used for acute and refractory cardiogenic shock. Yet, in clinical practice, monitoring of cardiac loading conditions during VA ECMO can be cumbersome. To this end, we illustrate the validity and clinical applicability of a real-time cardiovascular computer simulation, which allows to integrate hemodynamics, cardiac dimensions and the corresponding degree of VA ECMO support and ventricular loading in individual patients over time.
Appendix
Available only for authorised users
Literature
2.
go back to reference Mirabel M, Luyt CE, Leprince P, Trouillet JL, Leger P, Pavie A, et al. Outcomes, long-term quality of life, and psychologic assessment of fulminant myocarditis patients rescued by mechanical circulatory support. Crit Care Med. 2011;39(5):1029–35. doi:10.1097/CCM.0b013e31820ead45.CrossRefPubMed Mirabel M, Luyt CE, Leprince P, Trouillet JL, Leger P, Pavie A, et al. Outcomes, long-term quality of life, and psychologic assessment of fulminant myocarditis patients rescued by mechanical circulatory support. Crit Care Med. 2011;39(5):1029–35. doi:10.​1097/​CCM.​0b013e31820ead45​.CrossRefPubMed
3.
go back to reference Boulate D, Luyt CE, Pozzi M, Niculescu M, Combes A, Leprince P, et al. Acute lung injury after mechanical circulatory support implantation in patients on extracorporeal life support: an unrecognized problem. Eur J Cardiothorac Surg. 2013;44(3):544–9. doi:10.1093/ejcts/ezt125 (discussion 9-50).CrossRefPubMed Boulate D, Luyt CE, Pozzi M, Niculescu M, Combes A, Leprince P, et al. Acute lung injury after mechanical circulatory support implantation in patients on extracorporeal life support: an unrecognized problem. Eur J Cardiothorac Surg. 2013;44(3):544–9. doi:10.​1093/​ejcts/​ezt125 (discussion 9-50).CrossRefPubMed
4.
go back to reference Demondion P, Fournel L, Golmard JL, Niculescu M, Pavie A, Leprince P. Predictors of 30-day mortality and outcome in cases of myocardial infarction with cardiogenic shock treated by extracorporeal life support. Eur J Cardiothorac Surg. 2014;45(1):47–54. doi:10.1093/ejcts/ezt207.CrossRefPubMed Demondion P, Fournel L, Golmard JL, Niculescu M, Pavie A, Leprince P. Predictors of 30-day mortality and outcome in cases of myocardial infarction with cardiogenic shock treated by extracorporeal life support. Eur J Cardiothorac Surg. 2014;45(1):47–54. doi:10.​1093/​ejcts/​ezt207.CrossRefPubMed
8.
go back to reference Lang RM, Badano LP, Mor-Avi V, Afilalo J, Armstrong A, Ernande L, et al. Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr. 2015;28(1):1–39. doi:10.1016/j.echo.2014.10.003.CrossRefPubMed Lang RM, Badano LP, Mor-Avi V, Afilalo J, Armstrong A, Ernande L, et al. Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr. 2015;28(1):1–39. doi:10.​1016/​j.​echo.​2014.​10.​003.CrossRefPubMed
Metadata
Title
Individualized real-time clinical decision support to monitor cardiac loading during venoarterial ECMO
Authors
Michael Broomé
Dirk W. Donker
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Journal of Translational Medicine / Issue 1/2016
Electronic ISSN: 1479-5876
DOI
https://doi.org/10.1186/s12967-015-0760-1

Other articles of this Issue 1/2016

Journal of Translational Medicine 1/2016 Go to the issue