TY - JOUR
T1 - Fundamentals of weaning veno-arterial and veno-venous extracorporeal membrane oxygenation
AU - Tsiouris, Athanasios
AU - Protos, Adam Nicholas
AU - Saikus, Christina Elena
AU - Jeyakumar, Ashok Kumar Coimbatore
N1 - © Indian Association of Cardiovascular-Thoracic Surgeons 2023, Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
PY - 2023/2/16
Y1 - 2023/2/16
N2 - Recent advances in veno-arterial (VA) and veno-venous (VV) extracorporeal membrane oxygenation (ECMO) technology and management have enabled us to support patients with cardiac and/or pulmonary failure, who may have previously been considered untreatable. VA ECMO and VV ECMO are by definition transient therapies and serve as a bridge to recovery, bridge to decision, bridge to transplant, or bridge to no recovery. Weaning ECMO should be considered for all patients once native cardiac and pulmonary function show signs of recovery. Currently, there are no universally accepted protocols for weaning VA and VV ECMO, and consequently, each individual center follows their own weaning protocols. The aim of this review article is to describe different approaches to safely wean from VA and VV ECMO.
AB - Recent advances in veno-arterial (VA) and veno-venous (VV) extracorporeal membrane oxygenation (ECMO) technology and management have enabled us to support patients with cardiac and/or pulmonary failure, who may have previously been considered untreatable. VA ECMO and VV ECMO are by definition transient therapies and serve as a bridge to recovery, bridge to decision, bridge to transplant, or bridge to no recovery. Weaning ECMO should be considered for all patients once native cardiac and pulmonary function show signs of recovery. Currently, there are no universally accepted protocols for weaning VA and VV ECMO, and consequently, each individual center follows their own weaning protocols. The aim of this review article is to describe different approaches to safely wean from VA and VV ECMO.
U2 - 10.1007/s12055-023-01474-y
DO - 10.1007/s12055-023-01474-y
M3 - Review article
C2 - 36820202
SN - 0970-9134
VL - 39
SP - 1
EP - 11
JO - Indian journal of thoracic and cardiovascular surgery
JF - Indian journal of thoracic and cardiovascular surgery
IS - Suppl 1
ER -