Intraoperative Management of Adult Patients on Extracorporeal Membrane Oxygenation: an Expert Consensus Statement From the Society of Cardiovascular Anesthesiologists-Part I, Technical Aspects of Extracorporeal Membrane Oxygenation

Michael A Mazzeffi; Vidya K Rao; Jeffrey Dodd-O; Jose Mauricio Del Rio; Antonio Hernandez; Mabel Chung; Amit Bardia; Rebecca M Bauer; Joseph S Meltzer; Sree Satyapriya; Raymond Rector; James G Ramsay; Jacob Gutsche

doi:10.1053/j.jvca.2021.07.046

Intraoperative Management of Adult Patients on Extracorporeal Membrane Oxygenation: an Expert Consensus Statement From the Society of Cardiovascular Anesthesiologists-Part I, Technical Aspects of Extracorporeal Membrane Oxygenation

J Cardiothorac Vasc Anesth. 2021 Dec;35(12):3496-3512. doi: 10.1053/j.jvca.2021.07.046. Epub 2021 Sep 23.

Authors

Affiliations

¹ Department of Anesthesiology and Critical Care Medicine, The George Washington University School of Medicine and Health Sciences, Washington, DC. Electronic address: mimazzeffi@mfa.gwu.edu.
² Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Palo Alto, California.
³ Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
⁴ Department of Anesthesiology, Duke University School of Medicine, Durham, North Carolina.
⁵ Department of Anesthesiology, Vanderbilt University School of Medicine, Nashville, Tennessee.
⁶ Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Harvard University School of Medicine, Boston, Massachusetts.
⁷ Department of Anesthesiology, Yale University School of Medicine, New Haven, Connecticut.
⁸ Department of Anesthesiology, University of Massachusetts School of Medicine, Worcester, Massachusetts.
⁹ Department of Anesthesiology and Perioperative Medicine, University of California Los Angeles School of Medicine, Los Angeles, California.
¹⁰ Department of Anesthesiology, Ohio State University School of Medicine, Columbus, Ohio.
¹¹ Department of Surgery, Division of Cardiothoracic Surgery, University of Maryland Medical Center, Baltimore, Maryland.
¹² Department of Anesthesia and Perioperative Care, University of California San Francisco School of Medicine, San Francisco, California.
¹³ Department of Anesthesiology and Critical Care, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania.

PMID: 34774252
DOI: 10.1053/j.jvca.2021.07.046

Abstract

Extracorporeal membrane oxygenation (ECMO) is used to support patients with refractory cardiopulmonary failure. Given ECMO's increased use in adults and the fact that many ECMO patients are cared for by anesthesiologists, the Society of Cardiovascular Anesthesiologists ECMO working group created an expert consensus statement that is intended to help anesthesiologists manage adult ECMO patients who are cared for in the operating room. In the first part of this 2-part series, technical aspects of ECMO are discussed, and related expert consensus statements are provided.

MeSH terms

Adult
Anesthesiologists
Consensus
Extracorporeal Membrane Oxygenation*
Humans