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Ann Thorac Surg 2001;72:1407-1408
© 2001 The Society of Thoracic Surgeons


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Extracorporeal membrane oxygenation before induction of anesthesia in critically ill thoracic transplant patients

Willem J. de Boer, MDa, Tjalling W. Waterbolk, MDa, Johan Brügemann, MD, PhDb, Wim van der Bij, MD, PhDc, Robert J. Huyzen, MDd

a Department of Cardiothoracic Surgery, University Hospital Groningen, Groningen, The Netherlands
b Department of Cardiology, University Hospital Groningen, Groningen, The Netherlands
c Department of Pulmonology, University Hospital Groningen, Groningen, The Netherlands
d Department of Anesthesiology, University Hospital Groningen, Groningen, The Netherlands

Accepted for publication May 14, 2001.

Address reprint requests to Dr de Boer, Department of Cardiothoracic Surgery, University Hospital Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands
e-mail: w.j.de.boer{at}thorax.azg.nl

Cardiorespiratory failure just before surgery in critically ill thoracic transplant patients can have catastrophic consequences. We judged the cardiorespiratory condition in three of 160 thoracic transplant procedures performed in our center too unstable for a safe induction of anesthesia. In these 3 patients, extracorporeal membrane oxygenation support was installed before induction of anesthesia to maintain an adequate cardiorespiratory state. This strategy was successful for all 3 patients, and long-term survival was achieved with a good quality of life. Guidelines for indications to follow this strategy are discussed.







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