TY - JOUR
T1 - The ABCDE approach to difficult weaning from venoarterial extracorporeal membrane oxygenation
AU - Meuwese, Christiaan L.
AU - Brodie, Daniel
AU - Donker, Dirk W.
N1 - Funding Information:
CLM reports having received research funding from ‘Stichting Gezondheidszorg Spaarneland (SGS)’ foundation. DB receives research support from ALung Technologies. He has been on the medical advisory boards for Abiomed, Xenios, Medtronic, Inspira, and Cellenkos. He is the President-elect of the Extracorporeal Life Support Organization (ELSO) and the Chair of the Executive Committee of the International ECMO Network (ECMONet). DWD reports personal fees from Getinge-Maquet, Xenios NovaLung Fresenius, and Abiomed and research funding from ‘Stichting Gezondheidszorg Spaarneland (SGS)’ foundation, and consultancy and research cooperation with Getinge-Maquet.
Publisher Copyright:
© 2022, The Author(s).
PY - 2022/12
Y1 - 2022/12
N2 - Venoarterial extracorporeal membrane oxygenation (VA ECMO) has been increasingly applied in patients with cardiogenic shock in recent years. Nevertheless, many patients cannot be successfully weaned from VA ECMO support and 1-year mortality remains high. A systematic approach could help to optimize clinical management in favor of weaning by identifying important factors in individual patients. Here, we provide an overview of pivotal factors that potentially prevent successful weaning of VA ECMO. We present this through a rigorous approach following the relatable acronym ABCDE, in order to facilitate widespread use in daily practice.
AB - Venoarterial extracorporeal membrane oxygenation (VA ECMO) has been increasingly applied in patients with cardiogenic shock in recent years. Nevertheless, many patients cannot be successfully weaned from VA ECMO support and 1-year mortality remains high. A systematic approach could help to optimize clinical management in favor of weaning by identifying important factors in individual patients. Here, we provide an overview of pivotal factors that potentially prevent successful weaning of VA ECMO. We present this through a rigorous approach following the relatable acronym ABCDE, in order to facilitate widespread use in daily practice.
KW - Extracorporeal Membrane Oxygenation
KW - Humans
KW - Retrospective Studies
KW - Shock, Cardiogenic/therapy
KW - ECMO
KW - Extracorporeal membrane oxygenation
KW - Weaning failure
UR - http://www.scopus.com/inward/record.url?scp=85134242938&partnerID=8YFLogxK
U2 - 10.1186/s13054-022-04089-8
DO - 10.1186/s13054-022-04089-8
M3 - Review article
C2 - 35841052
SN - 1466-609X
VL - 26
JO - Critical care (London, England)
JF - Critical care (London, England)
IS - 1
M1 - 216
ER -