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Intraoperative management of a hybrid extracorporeal membrane oxygenation circuit for lung transplantation
Author(s) -
Martin Archer Kilbourne,
Harrison Barry A.,
Fritz Ashley Virginia,
Landolfo Kevin P.,
Makey Ian A.,
Sareyyupoglu Basar,
Brown Thomas E.,
Johnson James L.,
Pham Si M.,
Thomas Mathew
Publication year - 2020
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.15029
Subject(s) - medicine , extracorporeal membrane oxygenation , lung transplantation , transplantation , lung , extracorporeal circulation , cardiopulmonary bypass , extracorporeal , artificial lung , oxygenation , intensive care medicine , anesthesia , surgery
Background The use of extracorporeal circulation (ECC) for intraoperative cardiopulmonary support during lung transplantation has been increasing in the recent years. Our group previously described a novel hybrid extracorporeal membrane oxygenation (ECMO) circuit for use in lung transplantation. Technique Our approach for intraoperative management of our novel hybrid ECMO circuit for lung transplantation is driven by two main goals: The first is to deliver management that ensures an appropriate balance between the native and ECMO cardiac outputs in order to provide a stable environment that promotes attenuation of ischemic‐reperfusion injury during implantation. The second is to provide a stable hemodynamic environment that results in an appropriate global perfusion guided by multiple monitors and an organ systems‐based approach during implantation. Comments Our novel technique for intraoperative management of this circuit during lung transplantation is described.