Postoperative care of ECMO/mechanical circulatory support

Abstract

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.