SEDAR/SECCE ECMO management consensus document.

Autores de IIS La Fe

• Iratxe Zarragoikoetxea Jauregui

  Autor

• María Azucena Pajares Moncho

  Autor

• Juan Porta Martín

  Autor

• Rosario Vicente Guillen

  Autor

Participantes ajenos a IIS La Fe

• Moreno I
• Koller T
• Cegarra V
• Gonzalez AI
• Eiras M
• Sandoval E
• Aurelio Sarralde J
• Quintana-Villamandos B

Grupos

• 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 centres experience with the goal of improving comprehensive patient care.

Keywords

• Cardiogenic shock, Complicaciones, Complications, ECMO, Insuficiencia respiratoria, Perioperative, Perioperatorio, Respiratory failure, Shock cardiogénico, Transplantation, Trasplante