SEDAR/SECCE ECMO management consensus document

Autors de IIS La Fe

• Iratxe Zarragoikoetxea Jauregui

  Autor

• María Azucena Pajares Moncho

  Autor

• Ignacio Moreno Puigdollers

  Autor

• Jose Mariano Porta Ettesam

  Autor

• Rosario Vicente Guillen

  Autor

Autors aliens a IIS La Fe

• Koller, T
• Cegarra, V
• Gonzalez, AI
• Eiras, M
• Sandoval, E
• Sarralde, JA
• Quintana-Villamandos, B

Grups d'Investigació

• Anestesia y Cuidados Críticos

  Investigador Principal

  María Azucena Pajares Moncho

• Medicina Perioperatoria, Anestesiología y Reanimación

  

  Leader

  Óscar Díaz Cambronero

Abstract

ECMO is an extracorporeal cardiorespiratory support system whose use has been increased in the last decade. Respiratory failure, postcardiotomy shock, and lung or heart primary graft failure may require the use of cardiorespiratory mechanical assistance. In this scenario perioperative medical and surgical management is crucial. Despite the evolution of technology in the area of extracorporeal support, morbidity and mortality of these patients continues to be high, and therefore the indication as well as the ECMO removal should be established within a multidisciplinary team with expertise in the area. This consensus document aims to unify medical knowledge and provides recommendations based on both the recent bibliography and the main national ECMO implantation centers experience with the goal of improving comprehensive patient care. (C) 2021 Sociedad Espanola de Anestesiologia, Reanimacion y Terapeutica del Dolor. Published by Elsevier Espana, S.L.U. All rights reserved.

Keywords

• ECMO; Perioperative; Respiratory failure; Cardiogenic shock; Transplantation; Complications