Road Map of Extracorporeal Membrane Oxygenation in the Early Post–Lung Transplant Period.
Extracorporeal membrane oxygenation is increasingly used in the early postoperative period after lung transplantation, mainly to support patients with primary graft dysfunction and severe right ventricular failure. Recipients with high risk, particularly those with pulmonary arterial hypertension, m...
| Publicado en: | AACN Advanced Critical Care Vol. 37; no. 3; pp. 295 - 307 |
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| Autores principales: | , , , , , |
| Formato: | CEU review Journal Article |
| Publicado: |
American Association of Critical-Care Nurses
Fall2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=196696400&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 196696400 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15597768 26ZY jtl: AACN Advanced Critical Care issn: 15597768 maglogo: N pubinfo: dt: Fall2026 vid: 37 iid: 3 pid: 2559 pub: American Association of Critical-Care Nurses place: Alisa Veijo, California artinfo: ui: 196696400 196696400 196696400 10.4037/aacnacc2026592 196696400 ppf: 295 ppct: 12 formats: fmt: @attributes: type: T tig: atl: Road Map of Extracorporeal Membrane Oxygenation in the Early Post–Lung Transplant Period. aug: au: Vo, Christina Taing Remy, Anna Moyer, Emily P. Gibbs, Robin Witek, Stephanie Crespo, Maria M. affil: Christina Taing Vo is Nurse Practitioner, Department of Medical Transplant—Advanced Lung Disease, Hospital of the University of Pennsylvania, 3400 Spruce St, Philadelphia, PA 19104 sug: subj: Extracorporeal Membrane Oxygenation Lung Transplantation Postoperative Period Pulmonary Arterial Hypertension Prevention and Control Allografts Infection Risk Factors Critical Care Nurses Nursing Role Patient Safety Recovery Outcomes (Health Care) Multidisciplinary Care Team Education, Continuing (Credit) Graft Rejection Hemodynamics Postoperative Complications Prevention and Control Transplant Recipients ab: Extracorporeal membrane oxygenation is increasingly used in the early postoperative period after lung transplantation, mainly to support patients with primary graft dysfunction and severe right ventricular failure. Recipients with high risk, particularly those with pulmonary arterial hypertension, may benefit from prophylactic extracorporeal membrane oxygenation to promote controlled reperfusion and reduce early allograft injury. This review synthesizes current evidence on indications for postoperative extracorporeal membrane oxygenation, optimal selection between venovenous and venoarterial support, and cannulation strategies tailored to cardiopulmonary physiology. Key challenges, including recirculation, vascular complications, infection risk, and altered pharmacokinetics, are discussed along with methods to detect and mitigate them. Emphasis is placed on the critical care nurse's integral role in ensuring the safety and success of extracorporeal membrane oxygenation, coordinating multidisciplinary care, identifying complications early, and applying evidence-based management to support allograft recovery and improve patient outcomes. pubtype: Academic Journal doctype: CEU review Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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