Management of cardiogenic shock during cardiac surgery with long-term use of percutaneous cardiopulmonary support: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
; : 625-628, 2008.
Article
in Ko
| WPRIM
| ID: wpr-136181
Responsible library:
WPRO
ABSTRACT
Percutaneous cardiopulmonary support (PCPS) provides hemodynamic and pulmonary support simultaneously and is increasingly used in medical practice. However, the presence of extracorporeal circulation and the use of heparin means it is not free of side effects, and use of PCPS for longer than 96 h is associated with poor prognosis. Therefore, along with the decision of when to apply or discontinue PCPS, an integrated team approach between the surgeon and the anesthesiologist to prevent and/ or manage PCPS-related complications is of paramount importance when the patient's physical status mandates prolonged use of PCPS. We hereby report 2 cases addressing successful management of postoperative cardiogenic shock, refractory to pharmacologic support, with early and prolonged application of PCPS in patients who underwent surgical anterior ventricular endocardial restoration and coronary artery bypass surgery.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Prognosis
/
Shock, Cardiogenic
/
Thoracic Surgery
/
Heparin
/
Coronary Artery Bypass
/
Extracorporeal Circulation
/
Hemodynamics
Type of study:
Prognostic_studies
Limits:
Humans
Language:
Ko
Journal:
Korean Journal of Anesthesiology
Year:
2008
Type:
Article