Hemodynamic monitoring in patients with venoarterial extracorporeal membrane oxygenation

Ying Su; Kai Liu; Ji-Li Zheng; Xin Li; Du-Ming Zhu; Ying Zhang; Yi-Jie Zhang; Chun-Sheng Wang; Tian-Tian Shi; Zhe Luo; Guo-Wei Tu

doi:10.21037/atm.2020.03.186

Hemodynamic monitoring in patients with venoarterial extracorporeal membrane oxygenation

Ann Transl Med. 2020 Jun;8(12):792. doi: 10.21037/atm.2020.03.186.

Authors

Ying Su¹, Kai Liu¹, Ji-Li Zheng², Xin Li³, Du-Ming Zhu¹, Ying Zhang¹, Yi-Jie Zhang¹, Chun-Sheng Wang³, Tian-Tian Shi⁴, Zhe Luo^{1

5}, Guo-Wei Tu¹

Affiliations

¹ Department of Critical Care Medicine, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
² Department of Nursing, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
³ Department of Cardiac Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
⁴ Department of medicine, Yale New Haven Health/Bridgeport Hospital, Bridgeport, USA.
⁵ Department of Critical Care Medicine, Xiamen Branch, Zhongshan Hospital, Fudan University, Xiamen 361015, China.

Abstract

Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) is an effective mechanical circulatory support modality that rapidly restores systemic perfusion for circulatory failure in patients. Given the huge increase in VA-ECMO use, its optimal management depends on continuous and discrete hemodynamic monitoring. This article provides an overview of VA-ECMO pathophysiology, and the current state of the art in hemodynamic monitoring in patients with VA-ECMO.

Keywords: Perfusion; cardiac output (CO); echocardiography; microcirculation; shock; veno-arterial extracorporeal membrane oxygenation (VA-ECMO).

Publication types

Review