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Temporary Mechanical Circulatory Support in Cardiogenic Shock: Executive Summary of the Joint Consensus Reports of the PeriOperative Quality Initiative and the Enhanced Recovery After Surgery Cardiac Society
Journal article   Peer reviewed

Temporary Mechanical Circulatory Support in Cardiogenic Shock: Executive Summary of the Joint Consensus Reports of the PeriOperative Quality Initiative and the Enhanced Recovery After Surgery Cardiac Society

Michael C Grant, Manreet K Kanwar, Audrey E Spelde, Subhasis Chatterjee, Jean Deschamps, Rakesh C Arora, Andrew D Shaw and Daniel T Engelman
The Annals of thoracic surgery, v 120(2)
02 Apr 2025
DOI: https://doi.org/10.1016/j.athoracsur.2025.03.024
PMID: 40185355
Featured in Collection :   UN Sustainable Development Goals @ Drexel
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https://doi.org/10.1016/j.athoracsur.2025.03.024View
Published, Version of Record (VoR) Open

Abstract

The identification, triage, and management of cardiogenic shock (CS) is complex and resource-intensive, particularly given the recent surge in the use of temporary mechanical circulatory support (tMCS) devices. This document is an executive summary of a series of consensus statements which guide the bedside clinician regarding the management of tMCS in the setting of CS.BACKGROUNDThe identification, triage, and management of cardiogenic shock (CS) is complex and resource-intensive, particularly given the recent surge in the use of temporary mechanical circulatory support (tMCS) devices. This document is an executive summary of a series of consensus statements which guide the bedside clinician regarding the management of tMCS in the setting of CS.The PeriOperative Quality Initiative (POQI) and Enhanced Recovery After Surgery (ERAS®) Cardiac Society convened an interdisciplinary, international panel of experts, utilized a structured appraisal of the literature and the modified Delphi method to derive consensus on a series of topics related to both CS and tMCS.METHODSThe PeriOperative Quality Initiative (POQI) and Enhanced Recovery After Surgery (ERAS®) Cardiac Society convened an interdisciplinary, international panel of experts, utilized a structured appraisal of the literature and the modified Delphi method to derive consensus on a series of topics related to both CS and tMCS.The effort resulted in three manuscripts with guidance related to the diagnosis, escalation/de-escalation and best practices associated with CS and the provision of tMCS. Group consensus was derived around existing clinical questions, summary guidance statements and the quality of the existing evidence.RESULTSThe effort resulted in three manuscripts with guidance related to the diagnosis, escalation/de-escalation and best practices associated with CS and the provision of tMCS. Group consensus was derived around existing clinical questions, summary guidance statements and the quality of the existing evidence.The POQI/ERAS Cardiac consensus series derived 27 unique statements regarding the care of patients with CS and the provision of tMCS. Key themes emerged, including the need for immediate and systematic assessment of CS severity, early initiation of tMCS, an algorithmic approach to the escalation and de-escalation of tMCS therapies and adoption of high-quality best practices associated with tMCS management.CONCLUSIONSThe POQI/ERAS Cardiac consensus series derived 27 unique statements regarding the care of patients with CS and the provision of tMCS. Key themes emerged, including the need for immediate and systematic assessment of CS severity, early initiation of tMCS, an algorithmic approach to the escalation and de-escalation of tMCS therapies and adoption of high-quality best practices associated with tMCS management.

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2 citations in Web of Science
1 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Cardiac & Cardiovascular Systems
Respiratory System
Surgery
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