ECMO in cardiac arrest and cardiogenic shock

Cardiogenic shock is an acute emergency, which is classically managed by medical support with inotropes or vasopressors and frequently requires invasive ventilation. However, both catecholamines and ventilation are associated with a worse prognosis, and many patients deteriorate despite all efforts....

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Bibliographic Details
Published in:Herz 2017-02, Vol.42 (1), p.27-44
Main Authors: Napp, L. C., Kühn, C., Bauersachs, J.
Format: Article
Language:English
Subjects:
Cardiac arrest
Cardiology
Critical Care - methods
Equipment Design
Evidence-Based Medicine
Extracorporeal Membrane Oxygenation - instrumentation
Extracorporeal Membrane Oxygenation - methods
Heart Arrest - diagnosis
Heart Arrest - therapy
Humans
Internal Medicine
Main Topic
Medicine
Medicine & Public Health
Shock, Cardiogenic - diagnosis
Shock, Cardiogenic - therapy
Treatment Outcome
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Summary:Cardiogenic shock is an acute emergency, which is classically managed by medical support with inotropes or vasopressors and frequently requires invasive ventilation. However, both catecholamines and ventilation are associated with a worse prognosis, and many patients deteriorate despite all efforts. Mechanical circulatory support is increasingly considered to allow for recovery or to bridge until making a decision or definite treatment. Of all devices, extracorporeal membrane oxygenation (ECMO) is the most widely used. Here we review features and strategical considerations for the use of ECMO in cardiogenic shock and cardiac arrest.
ISSN:0340-9937
1615-6692
DOI:10.1007/s00059-016-4523-4