Principles and indications of extracorporeal life support in general thoracic surgery.

Abstract:

:The role of extracorporeal life support (ECLS) has expanded rapidly over the past 15 years to become an important tool in advanced general thoracic surgery practice. Intra-operative and in some cases continued post-operative ECLS is redefining the scope of complex surgical care. ECLS encompasses a spectrum of temporary mechanical support that may remove CO2, oxygenate or provide hemodynamic support or a combination thereof. The most common modalities used in general thoracic surgery include extracorporeal membrane oxygenation (ECMO), interventional lung assist device (iLA® Novalung®, Heilbronn, Germany), and extracorporeal CO2 removal (ECCO2R). The ECMO and Novalung® devices can be used in different modes for the short term or long-term support depending on the situation. In this review, the principles and current applications of ECLS in general thoracic surgery are presented.

journal_name

J Thorac Dis

authors

McRae K,de Perrot M

doi

10.21037/jtd.2018.03.116

subject

Has Abstract

pub_date

2018-04-01 00:00:00

pages

S931-S946

issue

Suppl 8

eissn

2072-1439

issn

2077-6624

pii

jtd-10-S8-S931

journal_volume

10

pub_type

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