Extracorporeal life support during pregnancy

Slides:



Advertisements
Similar presentations
Max B. Mitchell, MD  The Journal of Thoracic and Cardiovascular Surgery 
Advertisements

Lost in translation The Journal of Thoracic and Cardiovascular Surgery
The eighth edition TNM stage classification for lung cancer: What does it mean on main street?  Frank C. Detterbeck, MD  The Journal of Thoracic and Cardiovascular.
Extracorporeal membrane oxygenation for septic shock: Heroic futility?
Yesterday's heroic measure is now standard procedure: Extracorporeal membrane oxygenation as a bridge to lung transplant  Victor van Berkel, MD, PhD 
The days of future past  Neel K. Ranganath, MD, Aubrey C. Galloway, MD 
Ground glass opacity of the lung: The veil that needs lifting
Centers for Disease Control “increased-risk” organ donor: Not so risky?  Francis D. Pagani, MD, PhD  The Journal of Thoracic and Cardiovascular Surgery 
Abracadabra I, II…HeartMate 3?
The Journal of Thoracic and Cardiovascular Surgery
Marye J. Gleva, MD, Charles B. Huddleston, MD 
How should we treat air leaks?
Harold L. Lazar, MD  The Journal of Thoracic and Cardiovascular Surgery 
New treatment approaches create new disease processes: A short guide on how to reduce unexpected events to a minimum  Martin Czerny, MD, MBA  The Journal.
Commentary: Pursuit of the green jacket: Mastery of the long and short games  Daniel P. Raymond, MD  The Journal of Thoracic and Cardiovascular Surgery 
The lord of the rings  Antonio Miceli, MD, PhD 
Aditya K. Kaza, MD  The Journal of Thoracic and Cardiovascular Surgery 
Support Your Specialty
Rohit K. Singal, MD, MSc, FRCSC, Rakesh C. Arora, MD, PhD, FRCSC 
Contemporary extracorporeal membrane oxygenation therapy in adults: Fundamental principles and systematic review of the evidence  John J. Squiers, BSE,
Sometimes an ounce of extracorporeal membrane oxygenation prevention is worth a pound of extracorporeal membrane oxygenation cure  Pankaj Saxena, FRACS,
The assessment of cost effectiveness and the effectiveness of cost assessment in cardiothoracic surgery  Vinay Badhwar, MD  The Journal of Thoracic and.
It's not “just a shunt” but sometimes it should be…
Bartley P. Griffith, MD, FACS, FRCS 
Military surgeons just want to have fun
A first start for lung transplantation?
The evolution of intraoperative support in lung transplantation: Cardiopulmonary bypass to extracorporeal membrane oxygenation  P. Michael McFadden, MD,
Arterial lactate before initiation of venoarterial extracorporeal membrane oxygenation for postcardiotomy shock improves postimplant outcome prediction 
Navigating the lung for hidden treasure
Postsurgical lobar torsion in an unusual setting
Ground-glass opacities: A curable disease but a big challenge for surgeons  Ugo Cioffi, MD, PhD, Federico Raveglia, MD, Matilde De Simone, MD, PhD, Alessandro.
Fenton H. McCarthy, MD, MS, Nimesh D. Desai, MD, PhD 
David L. Joyce, MD  The Journal of Thoracic and Cardiovascular Surgery 
Living without lungs? Bilateral pneumonectomy and dual circulatory support: A step forward in the search for a total artificial lung  Christian A. Bermudez,
Attachment disorder in thoracoabdominal surgery
Uma M. Sachdeva, MD, PhD, Daniela Molena, MD 
Passing the torch The Journal of Thoracic and Cardiovascular Surgery
Combined use of extracorporeal membrane oxygenation and activated protein C for severe acute respiratory distress syndrome and septic shock  Yoan Lamarche,
Patrick T. Roughneen, MD, Grant T. Fankhauser, MD, Abe DeAnda, MD 
The origins of open heart surgery at the University of Minnesota 1951 to 1956  Richard A. DeWall, MD  The Journal of Thoracic and Cardiovascular Surgery 
Residual lesions in postoperative pediatric cardiac surgery patients receiving extracorporeal membrane oxygenation support  Hemant S. Agarwal, MBBS, FAAP,
Multifocal lung cancer within ground glass lesions: Are favorable outcomes consequent to surgical resection or inherent to the disease?  Mara B. Antonoff,
Bryan M. Burt, MD  The Journal of Thoracic and Cardiovascular Surgery 
Jeffrey H. Shuhaiber, MD, Jeff Moore, MS, David B. Dyke, MD 
Postcardiotomy extracorporeal membrane oxygenation for refractory cardiogenic shock  Nilgun Bozbuga, MD, PhD  The Journal of Thoracic and Cardiovascular.
The Journal of Thoracic and Cardiovascular Surgery
Discussion The Journal of Thoracic and Cardiovascular Surgery
A call for standardized end point definitions regarding outcomes of extracorporeal membrane oxygenation  John J. Squiers, BSE, Brian Lima, MD, J. Michael.
The future of cardiac surgery training: A survival guide
Apparently, size matters…in congenital heart disease and brain injury
The continuing challenge of congenital heart disease in China
Ralph E. Delius, MD  The Journal of Thoracic and Cardiovascular Surgery 
The Journal of Thoracic and Cardiovascular Surgery
“The more things change…”: The challenges ahead
Commentary: Judgment day: Should you add atrial fibrillation ablation?
Managing conflicts of interest
More than vital: Who bears the burden?
Lung cancer randomized controlled trials should compare stereotactic body radiation therapy with observation, NOT surgery  Raja M. Flores, MD  The Journal.
Repetition is the mother of skill
Respect the aorta The Journal of Thoracic and Cardiovascular Surgery
Proactive or reactive? Best approach to limb ischemia in peripheral venoarterial extracorporeal life support  Matthew C. Black, MD, Mark S. Slaughter,
Preoperative PFTs: The answer is blowing in the wind
The evolution of cardiothoracic critical care
Of mice and men… The Journal of Thoracic and Cardiovascular Surgery
Volume 156, Issue 2, Pages e41-e45 (August 2019)
Samuel Kim, MD  The Journal of Thoracic and Cardiovascular Surgery 
Journal changes and initiatives
Commentary: Evaluation of primary graft dysfunction after lung transplantation—It is time to teach an old dog new tricks!  W. Hampton Gray, MD, P. Michael.
Zone zero thoracic endovascular aortic repair is all about “location, location, location”  Kevin L. Greason, MD  The Journal of Thoracic and Cardiovascular.
Akiko Tanaka, MD, PhD, Takeyoshi Ota, MD, PhD 
Presentation transcript:

Extracorporeal life support during pregnancy Sarah A. Moore, MD, Charles A. Dietl, MD, Denise M. Coleman, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 151, Issue 4, Pages 1154-1160 (April 2016) DOI: 10.1016/j.jtcvs.2015.12.027 Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Flow diagram of the study. ECMO, Extracorporeal membrane oxygenation; H1N1, influenza; ARDS, acute respiratory distress syndrome. The Journal of Thoracic and Cardiovascular Surgery 2016 151, 1154-1160DOI: (10.1016/j.jtcvs.2015.12.027) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Maternal and fetal survival of all reported cases of extracorporeal life support during pregnancy. H1N1, Influenza. The Journal of Thoracic and Cardiovascular Surgery 2016 151, 1154-1160DOI: (10.1016/j.jtcvs.2015.12.027) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Portable supine anteroposterior radiograph of the chest obtained on admission, showing diffuse bilateral airspace opacities more predominant in the lower lobes. Given the provided history, the diagnosis was compatible with HCPS. The Journal of Thoracic and Cardiovascular Surgery 2016 151, 1154-1160DOI: (10.1016/j.jtcvs.2015.12.027) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Portable supine anteroposterior radiograph of the chest obtained after 3 days of ECLS support, showing minimal bilateral lower lung ground-glass opacification consistent with residual airspace disease. The Journal of Thoracic and Cardiovascular Surgery 2016 151, 1154-1160DOI: (10.1016/j.jtcvs.2015.12.027) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Maternal and fetal survival of all reported cases of ECLS during pregnancy. The Journal of Thoracic and Cardiovascular Surgery 2016 151, 1154-1160DOI: (10.1016/j.jtcvs.2015.12.027) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions