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Crises During ECLS

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Extracorporeal Membrane Oxygenation for Adults

Part of the book series: Respiratory Medicine ((RM))

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Abstract

Expeditious recognition and effective intervention during crises are essential to the successful management of patients receiving extracorporeal life support (ECLS). Crises during ECLS can be partitioned into those originating in the circuit and those originating from the patient. Circuit crises, such as the presence of circuit air, thrombosis, oxygenator failure, pump failure, tubing rupture, heater malfunction, and inadvertent decannulation, and patient crises, such as bleeding, hemolysis, refractory hypoxemia, and shock, may quickly become life-threatening emergencies. Providers must be trained to promptly identify and respond to both common and uncommon complications of ECLS in order to optimize patient safety and improve clinical outcomes.

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Conflict of Interests

Drs. Abrams and Agerstrand are members of the steering committee of the Extracorporeal Life Support Organization (ELSO).

Dr. Brodie receives research support from ALung Technologies. He has been on the medical advisory boards for Abiomed, Xenios, Medtronic, Cellenkos, and Hemovent. He is the president-elect of the Extracorporeal Life Support Organization (ELSO).

All other authors have no conflicts of interest to disclose.

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Authors and Affiliations

  1. Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, Columbia University College of Physicians and Surgeons/NewYork-Presbyterian Hospital, New York, NY, USA

    Purnema Madahar, Daniel Brodie & Cara Agerstrand

  2. Center for Acute Respiratory Failure, New York-Presbyterian Hospital, New York, NY, USA

    Purnema Madahar, Phillipe H. Lemaitre, Daniel Brodie & Cara Agerstrand

  3. Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, Columbia University College of Physicians & Surgeons, New York, NY, USA

    Darryl Abrams

  4. Center for Acute Respiratory Failure, New York-Presbyterian Hospital, New York, NY, USA

    Darryl Abrams

  5. Department of Clinical Perfusion and Anesthesia Support Services, NewYork-Presbyterian Hospital, New York, NY, USA

    Dana A. Mullin

  6. Department of Surgery, Columbia University College of Physicians and Surgeons/NewYork-Presbyterian Hospital, New York, NY, USA

    Meaghan Flatley

  7. Division of Cardiothoracic Surgery, Department of Surgery, Columbia University College of Physicians and Surgeons/NewYork-Presbyterian Hospital, New York, NY, USA

    Phillipe H. Lemaitre

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  1. Purnema Madahar
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Correspondence to Cara Agerstrand .

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  1. Division of Pulmonary Diseases, Critical Care, and Occupational Medicine, Department of Internal Medicine, University of Iowa, Iowa City, IA, USA

    Gregory A. Schmidt

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Madahar, P. et al. (2022). Crises During ECLS. In: Schmidt, G.A. (eds) Extracorporeal Membrane Oxygenation for Adults. Respiratory Medicine. Humana, Cham. https://doi.org/10.1007/978-3-031-05299-6_13

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  • DOI: https://doi.org/10.1007/978-3-031-05299-6_13

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  • Publisher Name: Humana, Cham

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