The article, "Initiation and Anesthetic Management of ECMO in the Adult Noncardiac Surgical Patient," provides a comprehensive, evidence-based guide for anesthesia practitioners on the perioperative use of extracorporeal membrane oxygenation (ECMO) in adult patients undergoing noncardiac surgery. With ECMO use nearly doubling in the last decade, the article addresses the growing need for updated clinical guidelines by reviewing elective preinduction and emergent ECMO initiation strategies, intraoperative anesthetic considerations, and monitoring and pharmacologic management. It highlights patient selection criteria, potential complications, and intraoperative scenarios where ECMO may be life-saving, aiming to equip practitioners with the knowledge to safely and effectively manage high-risk patients in the absence of robust high-level evidence. The authors emphasize the importance of interdisciplinary teamwork and timely ECMO implementation to improve outcomes and reduce perioperative morbidity and mortality.
Learning Outcomes:
- Review the patient populations to be considered for elective preinduction ECMO.
- Describe the steps needed to initiate emergent ECMO implementation.
- Discuss the considerations for the intraoperative management of ECMO support.
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This program has been prior approved by the American Association of Nurse Anesthesiology for 1.00 Class A CE credits; Code Number 1046010; Expiration Date 8/3/2026.