Postoperative Care of ECMO/Mechanical Circulatory Support

  • Kevin KoomalsinghEmail author
  • Fardad Esmailian


The perioperative management of mechanical support patients can be challenging. These patients are plagued by decompensated heart failure resulting in a low output state and, consequently, end organ dysfunction. They are additionaly challenged by immobility and deconditioning and very often require emergent temporary support or elective durable support. This can create for a lengthy, arduous convalescence. A standardized approach to critical care management can help optimize both the short and long term outcomes.


Extracorporeal membrane oxygenator Cardiovascular Preload Afterload Contractility Hepatic congestion Mesenteric ischemia Endocrine Hematologic considerations Infectious considerations 



Activated clotting time


Acute kidney injury


Adenosine monophosphate


Acute respiratory distress syndrome


Biventricular assist device


Coronary artery bypass grafting


Continuous flow left ventricular assist device


Cardiac index


Central nervous system


Cardiac output


Chronic obstructive pulmonary disease


Continuous positive airway pressure


Cardiopulmonary bypass


Cardiopulmonary resuscitation


Computed tomography


Central venous pressure


Chest X-ray


Deep venous thrombosis


Extracorporeal life support


Extracorporeal membrane oxygenation


Fractional inspired oxygen




Gastrointestinal bleeding


Intra-aortic balloon pump


Intra-cranial pressure


Intensive care unit


Inhaled nitric oxide


International normalized ratio




Lactated dehydrogenase


Left ventricle


Left ventricular assist device


Mean arterial pressure


Mechanical circulatory support


Mitral regurgitation


N-methyl-D-aspartate receptor


Nonsteroidal anti-inflammatory drugs


Operating room


Pulmonary artery


Pulmonary artery diastole


Peak end-expiratory pressure


Pulsatility index


Proton pump inhibitor


Partial prothrombin time


Right atrium


Richmond Agitation Sedation Scale


Right heart failure


Respiratory rate


Right ventricle


Right ventricular assist device


Oxygen saturation


Synchronized intermittent mechanical ventilation


Mixed venous saturation


Total artificial heart


Trans-esophageal echocardiogram


Transfusion-related acute lung injury


Transthoracic echocardiogram


Upper gastrointestinal bleeding




Veno-arterial extra corporeal membrane oxygenation


Ventricular assist device


Ventricular tachycardia


White blood cell


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Copyright information

© Springer International Publishing AG, part of Springer Nature (outside the USA) 2018

Authors and Affiliations

  1. 1.Department of Cardiothoracic SurgeryUniversity of WashingtonSeattleUSA
  2. 2.Department of SurgeryCedars-Sinai Heart InstituteLos AngelesUSA
  3. 3.Heart TransplantationCedars-Sinai Heart InstituteLos AngelesUSA

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