Extracorporeal Membrane Oxygenation Use in Thoracic Surgery

This narrative review is focused on the application of extracorporeal membrane oxygenation (ECMO) in thoracic surgery, exclusive of lung transplantation. Although the use of ECMO in this indication is still rare, it allows surgery to be performed in patients where conventional ventilation is not fea...

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Main Authors: Pavel Suk, Vladimír Šrámek, Ivan Čundrle
Format: Article
Language:English
Published: MDPI AG 2021-05-01
Series:Membranes
Subjects:
Online Access:https://www.mdpi.com/2077-0375/11/6/416
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author Pavel Suk
Vladimír Šrámek
Ivan Čundrle
author_facet Pavel Suk
Vladimír Šrámek
Ivan Čundrle
author_sort Pavel Suk
collection DOAJ
description This narrative review is focused on the application of extracorporeal membrane oxygenation (ECMO) in thoracic surgery, exclusive of lung transplantation. Although the use of ECMO in this indication is still rare, it allows surgery to be performed in patients where conventional ventilation is not feasible—especially in single lung patients, sleeve lobectomy or pneumonectomy and tracheal or carinal reconstructions. Comparisons with other techniques, various ECMO configurations, the management of anticoagulation, anesthesia, hypoxemia during surgery and the use of ECMO in case of postoperative respiratory failure are reviewed and supported by two cases of perioperative ECMO use, and an overview of published case series.
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spelling doaj.art-36f1c882ab0e4a198d378e15efba99c62023-11-21T22:11:12ZengMDPI AGMembranes2077-03752021-05-0111641610.3390/membranes11060416Extracorporeal Membrane Oxygenation Use in Thoracic SurgeryPavel Suk0Vladimír Šrámek1Ivan Čundrle2International Clinical Research Center, St. Anne’s University Hospital Brno, 65691 Brno, Czech RepublicDepartment of Anesthesiology and Intensive Care, St. Anne’s University Hospital Brno, 65691 Brno, Czech RepublicInternational Clinical Research Center, St. Anne’s University Hospital Brno, 65691 Brno, Czech RepublicThis narrative review is focused on the application of extracorporeal membrane oxygenation (ECMO) in thoracic surgery, exclusive of lung transplantation. Although the use of ECMO in this indication is still rare, it allows surgery to be performed in patients where conventional ventilation is not feasible—especially in single lung patients, sleeve lobectomy or pneumonectomy and tracheal or carinal reconstructions. Comparisons with other techniques, various ECMO configurations, the management of anticoagulation, anesthesia, hypoxemia during surgery and the use of ECMO in case of postoperative respiratory failure are reviewed and supported by two cases of perioperative ECMO use, and an overview of published case series.https://www.mdpi.com/2077-0375/11/6/416extracorporeal membrane oxygenationthoracic surgerylung resectiontracheal resectioncarinal resection
spellingShingle Pavel Suk
Vladimír Šrámek
Ivan Čundrle
Extracorporeal Membrane Oxygenation Use in Thoracic Surgery
Membranes
extracorporeal membrane oxygenation
thoracic surgery
lung resection
tracheal resection
carinal resection
title Extracorporeal Membrane Oxygenation Use in Thoracic Surgery
title_full Extracorporeal Membrane Oxygenation Use in Thoracic Surgery
title_fullStr Extracorporeal Membrane Oxygenation Use in Thoracic Surgery
title_full_unstemmed Extracorporeal Membrane Oxygenation Use in Thoracic Surgery
title_short Extracorporeal Membrane Oxygenation Use in Thoracic Surgery
title_sort extracorporeal membrane oxygenation use in thoracic surgery
topic extracorporeal membrane oxygenation
thoracic surgery
lung resection
tracheal resection
carinal resection
url https://www.mdpi.com/2077-0375/11/6/416
work_keys_str_mv AT pavelsuk extracorporealmembraneoxygenationuseinthoracicsurgery
AT vladimirsramek extracorporealmembraneoxygenationuseinthoracicsurgery
AT ivancundrle extracorporealmembraneoxygenationuseinthoracicsurgery