Intraoperative Extracorporeal Life Support for Thoracic and Airway Surgery

  • Daniel Sellers
  • Karen Lam
  • Karen McRaeEmail author


Extracorporeal life support (ECLS) encompasses a spectrum of temporary mechanical support for patients with heart or lung dysfunction that does not respond to traditional critical care therapy. The term ECMO (extracorporeal membrane oxygenation) is often used when the primary indication for support is failure of gas exchange. The physiologic goals vary with patient needs but may include oxygenation and CO2 removal, increased oxygen delivery via improved perfusion and the provision of lung rest and cardiac unloading. ECLS is available in an increasing number of specialised centres and may be of short duration (hours) to facilitate a surgical procedure or provide support for prolonged periods (weeks to months).


Extracorporeal Support Oxygenation Membrane oxygenation Blood flow Life support 



Activated clotting time


Activated partial thromboplastin time


Cardiopulmonary bypass


Extracorporeal life support


Extracorporeal membrane oxygenation


Forced expiratory volume in 1 second


Forced vital capacity


Heparin-induced thrombocytopenia


Intensive care unit


International normalised ratio


Inferior vena cava


One-lung ventilation


Right atrium


Superior vena cava


Systemic vascular resistance


Transoesophageal echocardiography


Transthoracic echocardiography


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Anesthesia and Pain ManagementToronto General Hospital, University Health NetworkTorontoCanada
  2. 2.University of Toronto, Department of AnaesthesiaTorontoCanada
  3. 3.Department of Anesthesia and Pain ManagementToronto General Hospital, University Health NetworkTorontoCanada

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