Individualized real-time clinical decision support to monitor cardiac loading during venoarterial ECMO

Veno-arterial extracoporeal membrane oxygenation (VA ECMO) is increasingly used for acute and refractory cardiogenic shock. Yet, in clinical practice, monitoring of cardiac loading conditions during VA ECMO can be cumbersome. To this end, we illustrate the validity and clinical applicability of a re...

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Bibliographic Details
Published inJournal of translational medicine Vol. 14; no. 5; p. 4
Main Authors Broomé, Michael, Donker, Dirk W
Format Journal Article
LanguageEnglish
Published England BioMed Central Ltd 06.01.2016
BioMed Central
Subjects
Analysis
Cardiac output
Cardiogenic shock
Care and treatment
Computer Simulation
Computer Systems
Decision Support Systems, Clinical
Diastole
Electrocardiography
Extracorporeal Membrane Oxygenation
Heart - physiopathology
Heart Ventricles - physiopathology
Hemodynamics
Humans
Medicin och hälsovetenskap
Monitoring, Physiologic
Patient monitoring equipment
Precision Medicine
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Summary:Veno-arterial extracoporeal membrane oxygenation (VA ECMO) is increasingly used for acute and refractory cardiogenic shock. Yet, in clinical practice, monitoring of cardiac loading conditions during VA ECMO can be cumbersome. To this end, we illustrate the validity and clinical applicability of a real-time cardiovascular computer simulation, which allows to integrate hemodynamics, cardiac dimensions and the corresponding degree of VA ECMO support and ventricular loading in individual patients over time.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:1479-5876
1479-5876
DOI:10.1186/s12967-015-0760-1