Echocardiography in extracorporeal life support: A key player in procedural guidance, tailoring and monitoring

Dirk W. Donker*, Christiaan L. Meuwese, Sue A. Braithwaite, Michael Broomé, Joris J. van der Heijden, Jeannine A. Hermens, Marc Platenkamp, Michel de Jong, Jacqueline G.D. Janssen, Martin Balík, Jan Bělohlávek

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

17 Citations (Scopus)

Abstract

Extracorporeal life support (ECLS) is a mainstay of current practice in severe respiratory, circulatory or cardiac failure refractory to conventional management. The inherent complexity of different ECLS modes and their influence on the native pulmonary and cardiovascular system require patient-specific tailoring to optimize outcome. Echocardiography plays a key role throughout the ECLS care, including patient selection, adequate placement of cannulas, monitoring, weaning and follow-up after decannulation. For this purpose, echocardiographers require specific ECLS-related knowledge and skills, which are outlined here.
Original languageEnglish
Pages (from-to)31-41
Number of pages11
JournalPerfusion
Volume33
Issue number1_suppl
DOIs
Publication statusPublished - 1 May 2018
Externally publishedYes

Keywords

  • acute heart failure
  • acute respiratory distress syndrome (ARDS)
  • cardiogenic shock
  • cardiovascular computer simulation
  • echocardiography
  • extracorporeal life support (ECLS)
  • left ventricular unloading
  • ultrasound
  • veno-arterial extracorporeal membrane oxygenation (VA ECMO)
  • veno-venous extracorporeal membrane oxygenation (VV ECMO)

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