RT Book, Section
A1 Chatterjee, Subhasis
A1 Loor, Gabriel
A2 Sugarbaker, David J.
A2 Bueno, Raphael
A2 Burt, Bryan M.
A2 Groth, Shawn S.
A2 Loor, Gabriel
A2 Wolf, Andrea S.
A2 Williams, Marcia
A2 Adams, Ann
SR Print(0)
ID 1170411081
T1 Extracorporeal Membrane Oxygenation During and After Pulmonary Resection
T2 Sugarbaker’s Adult Chest Surgery, 3e
YR 2020
FD 2020
PB McGraw-Hill Education
PP New York, NY
SN 9781260026931
LK accesssurgery.mhmedical.com/content.aspx?aid=1170411081
RD 2024/04/25
AB Extracorporeal  life  support  offers  cardiopulmonary  support  to  allow  recovery  of  the  heart  and/or  lungs  or  to  transition  to  more  definitive  therapies.  The  use  of  extracorporeal  membrane  oxygenation  (ECMO)  in  thoracic  surgery  focuses  on  two  settings.  The  first  is  intraoperative  utilization  to  either  facilitate  surgery  or  manage  an  acute  cardiopulmonary  crisis.  The  second  is  in  the  postoperative  setting  for  complications  after  surgery.  Each  setting  requires  understanding  the  capabilities  of  ECMO,  the  risks  and  benefits  of  extracorporeal  technology,  and  even  the  creative  application  of  this  technology  for  optimal  patient  outcomes.  In  this  chapter,  we  discuss  the  technical  aspects  of  ECMO  initiation  and  the  various  scenarios  the  general  thoracic  surgeon  may  encounter,  including  intraoperative  ECMO  during  pulmonary  resections  and  ECMO  for  postoperative  acute  respiratory  distress  syndrome  (ARDS).