Perioperative management of a patient on VA-ECMO undergoing noncardiac surgery. Case report

  • Marta I. Berrio-Valencia Department of Anesthesia and Perioperative Medicine, University of Western Ontario, University Hospital, London, Ontario, Canada
  • Matthew R. McFarlmg Department of Anesthesia and Perioperative Medicine, University of McMaster, Hamilton, Ontario, Canada
Keywords: Extracorporeal Membrane Oxygenation; Tachycardia; Ventricular; Anesthesia; Hemorrhage; Heart Arrest

Abstract

The frequency of extracorporeal membrane oxygenation (ECMO) use in adults has increased in recent years with an increased number of urgent noncardiac surgeries in adults on ECMO. Veno-arterial ECMO (VA-ECMO) is an adaptation of conventional cardiopulmonary bypass technique implemented for prolonged cardiopulmonary support. VA-ECMO is a proven rescue strategy for patients with cardiac arrest who are unresponsive or resistant to conventional cardiopulmonary resuscitation. This mechanical support is a bridging therapy in patients with refractory cardiac arrhythmias who have a poor response to defibrillation and anti-arrhythmic medications. This case report proposes the perioperative anesthetic management of these patients.

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How to Cite
1.
Berrio-Valencia MI, McFarlmg MR. Perioperative management of a patient on VA-ECMO undergoing noncardiac surgery. Case report. Colomb. J. Anesthesiol. [Internet]. 2018 Jan. 1 [cited 2024 Apr. 17];46(1):84-7. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/324

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Published
2018-01-01
How to Cite
1.
Berrio-Valencia MI, McFarlmg MR. Perioperative management of a patient on VA-ECMO undergoing noncardiac surgery. Case report. Colomb. J. Anesthesiol. [Internet]. 2018 Jan. 1 [cited 2024 Apr. 17];46(1):84-7. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/324
Section
Case Report / Case Series

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