Back to Search Start Over

The Role of Extracorporeal Life Support in Thoracic Surgery

Authors :
Axel Semmelmann
Johannes Kalbhenn
Torsten Loop
Source :
Current Anesthesiology Reports. 9:430-435
Publication Year :
2019
Publisher :
Springer Science and Business Media LLC, 2019.

Abstract

Extracorporeal life support (ECLS) is a widely used potential treatment option in patients with severe respiratory or cardiac failure with increasing significance. Routine perioperative application of ECLS is applied in cardiac and rare in thoracic surgery. This review will address the extracorporeal membrane oxygenation (ECMO) technology and basic concepts, the indications in thoracic surgery, and the intraoperative management of ECMO during surgery. The most common challenges and complications, the postoperative concept, and additional forms of support will be discussed. Technological advances in ECMO components may allow complex thoracic surgical procedures in patients in whom one-lung ventilation cannot be carried out safely without risk of hypoxia or right ventricular failure. The indications of ECLS in thoracic surgery besides lung transplantation are mainly airway resection and reconstructive surgery in patients with obstructive tracheobronchial airway diseases. Rare indications are lung surgery in patients with poor pulmonary reserve and difficulty or impossibility of one-lung ventilation. The intraoperative management of ECMO during thoracic surgery needs professional expertise.

Details

ISSN :
21676275
Volume :
9
Database :
OpenAIRE
Journal :
Current Anesthesiology Reports
Accession number :
edsair.doi...........8e35989cda356d586a425aa0394a1795
Full Text :
https://doi.org/10.1007/s40140-019-00362-9