Veno-arterial extracorporeal membrane oxygenation: Special reference for use in 'post-cardiotomy cardiogenic shock' - A review with an Indian perspective.

摘要: The ultimate goals of cardiovascular physiology are to ensure adequate end-organ perfusion satisfy the local metabolic demand, maintain homeostasis and achieve 'milieu interieur'. Cardiogenic shock is a state pump failure which results in tissue hypoperfusion its associated complications. There wide variety causes lead this deranged physiology, one such important common scenario post-cardiotomy encountered cardiac surgical units. Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) an modality managing cardiogenic with variable outcomes would otherwise be universally fatal. VA-ECMO considered as double-edged sword advantages luxurious while providing avenue for failing heart recover, but problems anticoagulation, inflammatory adverse systemic effects. Optimal after heavily reliant on multitude factors require multi-disciplinary team handle them. This article aims provide insight into pathophysiology VA-ECMO, cannulation techniques, commonly problems, monitoring, weaning strategies ethical considerations along literature review current evidence-based practices.