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Management of cardiogenic shock during cardiac surgery with long-term use of percutaneous cardiopulmonary support - case report -

Other Title
심장수술 중 발생한 심인성 쇽환자에서 경피적 심폐보조 - 증례보고 -
Authors
김, 종찬; 심, 재광; 안, 지원; 이, 재우; 김, 대희; 곽, 영란
Citation
Taehan Mach'ikwa Hakhoe chi, 55(5):625-628, 2008
Journal Title
Taehan Mach'ikwa Hakhoe chi; The Journal of the Korean Society of Anesthesiologists; 대한마취과학회지
ISSN
0302-5780
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.
Keywords
cardiogenic shockpercutaneous cardiopulmonary support (PCPS)surgical anterior ventricular endocardial restoration (SAVER)
DOI
10.4097/kjae.2008.55.5.625
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Anesthesiology & Pain Medicine
AJOU Authors
김, 대희
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