Abstract
This report describes the use of conventional cardiopulmonary bypass (CPB) circuit beyond the operating room to the critical care unit to provide cardiopulmonary support for patients requiring emergent resuscitation as well as short-term support for rest and recovery of the heart. We modified the CPB circuit and created a closed extra corporeal membrane oxygenation (ECMO) circuit using a conventional oxygenator excluding the venous reservoir. We believe that this technique provides a short-term mechanical support and also acts as a bridge to recovery, or a bridge to decision, in very limited resource settings.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Black MD, Coles JG, Williams WG, et al. Determinants of success in pediatric cardiac patients undergoing extracorporeal membrane oxygenation. Ann Thorac Surg. 1995;60:133–8.
Guglin M, Zucker MJ, Bazan VM, et al. Venoarterial ECMO for adults. JACC scientific expert panel. J Am Coll Cardiol. 2019;73:698–716.
Kreutzer C, Zapico G, Simon JL, Schlichter AJ, Kreutzer GO. A simplified and economic technique for immediate postcardiotomy pediatric extracorporeal membrane oxygenation. ASAIO J. 2005;51:659–62.
Rastan AJ, Dege A, Mohr M, et al. Early and late outcomes of 517 consecutive adult patients treated with extracorporeal membrane oxygenation for refractory post cardiotomy cardiogenic shock. J Thorac Cardiovasc Surg. 2010;139:302–11.
Chatterjee S, Hoff WJ, Pearson PJ. Advantages to miniaturized cardiopulmonary bypass for adult cardiac surgery. J Clinic Experiment Cardiol. 2011;S7:001.
Lequier L, Horton SB, McMullan DM, Bartlett RH. Extracorporeal membrane oxygenation circuitry. Pediatr Crit Care Med. 2013;14:S7–12.
Bartlett RH, Gazzaniga AB, Fong SW, Burns NE. Prolonged extracorporeal cardiopulmonary support in man. J Thorac Cardiovasc Surg. 1974;68:918–32.
Acknowledgments
We are grateful to Dr. S. Muralidharan (Professor and Senior Consultant, Cardiothoracic Surgery) for his inputs and support while writing this article.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Informed consent
Informed consent was obtained from patient and her both parents for this case report.
Additional information
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
George, B., Kandaswamy, M., Jaganathan, U. et al. Extension of cardiopulmonary bypass outside the operating room as a short-term bridge to recovery “the poor man’s ECMO”. Indian J Thorac Cardiovasc Surg 37, 108–111 (2021). https://doi.org/10.1007/s12055-020-01079-9
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12055-020-01079-9