l’arresto cardiaco: quando pensare all’ecmo · 2019. 12. 6. · 20 1 22 novembre 2019 intensive...
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www.asst-pg23.it
L’arresto cardiaco: quando pensare all’ECMO
Dott. Cattaneo SergioUOC Anestesia e Rianimazione Cardiochirurgica
www.asst-pg23.it
L’arresto cardiaco: quando pensare all’ECMO
1. Metodica ECMO
2. Letteratura
3. Protocollo "LOMBARDIA"
4. DCD
5. Stato dell'arte
E.C.M.O.
RespiratorioInsufficienza respiratoria
grave
Cardiaco Shock cardiogeno
ECPRArresto cardiaco
refrattario
E.C.M.O.Respiratorio (V-V) Cardiaco (V-A)
Supporto polmonare Supporto circolatorio e polmonare
Survival rate 9,6%With functional recovery 7,4%
Circulation. 2016;133:2159-2168.
Circulation. 2016;133:2159-2168.
E.C.M.O.
Support of heart or lung function
with mechanical devices which:
• is temporary (days to weeks),
• can be partial or total,
• avoids ongoing iatrogenic injury,
• sustains life while bridging to organ recovery or replacement.
ECMO - Obiettivi
• Obiettivi del supporto ECMO:– Bridge to recovery
– Bridge to transplant
– Bridge to bridge (VAD)
– Bridge to …
Clot Gestione terapiaanticoagulante
Anestesista
Perfusionista
Cardiologo
Cardiochirurgo
www.asst-pg23.it
L’arresto cardiaco: quando pensare all’ECMO
Dott. Cattaneo SergioUOC Anestesia e Rianimazione Cardiochirurgica