Extracorporeal Membrane Oxygenation: Mechanical Circulatory Support for Cardiogenic Shock: Past, Present and Future
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Video Transcription
Video Summary
Asset Subtitle
Cardiovascular, Procedures, 2022
Asset Caption
Cardiogenic shock after acute myocardial infarction requires immediate resuscitative therapy to prevent irreversible organ damage. Mortality, although decreased significantly, remains high. Intensivists more frequently encounter patients with cardiogenic shock. The key to a good outcome is an organized approach, with rapid recognition and prompt initiation of therapy to improve hemodynamics, tissue perfusion, ventilatory support, and reversal of the underlying cause. The concept of establishing ventricular support before revascularization stresses the notion that unloading the left ventricle is key to its recovery. Different percutaneous devices for mechanical support have different effects on left ventricular afterload and myocardial oxygen demand. An understanding of the advantages and disadvantages of these devices helps the clinician select the right device in the right setting.
Meta Tag
Content Type Presentation
Knowledge Area Cardiovascular
Knowledge Area Procedures
Knowledge Level Advanced
Learning Pathway Cardiothoracic Critical Care
Membership Level Select
Tag Shock
Tag Extracorporeal Membrane Oxygenation ECMO
Tag Cardiothoracic Critical Care
Year 2022
Keywords
ECMO
cardiogenic shock
LV unloading
mechanical circulatory support
complications
palliative care