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Trends in worldwide in-hospital survival, however, rather than improving, have shown a decline in some experiences, likely due to increased use in more complex, critically ill patients rather than to suboptimal management. Nevertheless, PC-ECLS is proving to be a valuable resource for temporary cardiocirculatory and respiratory support in patients who would otherwise most likely die. Because a comprehensive review of PC-ECLS might be of use for the practitioner, and possibly improve patient management in this setting, the authors have attempted to create a concise, comprehensive and relevant analysis of all aspects related to PC-ECLS, with a particular emphasis on indications, technique, management and avoidance of complications, appraisal of new approaches and ethics, education and training.<\/jats:p>","DOI":"10.1093\/ejcts\/ezaa283","type":"journal-article","created":{"date-parts":[[2020,8,20]],"date-time":"2020-08-20T15:08:12Z","timestamp":1597936092000},"page":"12-53","source":"Crossref","is-referenced-by-count":123,"title":["2020 EACTS\/ELSO\/STS\/AATS expert consensus on post-cardiotomy extracorporeal life support in adult patients"],"prefix":"10.1093","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1777-2045","authenticated-orcid":false,"given":"Roberto","family":"Lorusso","sequence":"first","affiliation":[{"name":"Department of Cardio-Thoracic Surgery, Heart & Vascular Centre, Maastricht University Medical Centre, Cardiovascular Research Institute Maastricht , Maastricht,","place":["Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Glenn","family":"Whitman","sequence":"additional","affiliation":[{"name":"Cardiovascular Surgery Intensive Care, Johns Hopkins Hospital , Baltimore, MD,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0984-9011","authenticated-orcid":false,"given":"Milan","family":"Milojevic","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Critical Care Medicine, Dedinje Cardiovascular Institute , Belgrade,","place":["Serbia"]},{"name":"Department of Cardiovascular Research, Dedinje Cardiovascular Institute , Belgrade,","place":["Serbia"]},{"name":"Department of Cardiothoracic Surgery, Erasmus University Medical Center , Rotterdam,","place":["Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7141-2561","authenticated-orcid":false,"given":"Giuseppe","family":"Raffa","sequence":"additional","affiliation":[{"name":"Department for the Treatment and Study of Cardiothoracic Diseases and Cardiothoracic Transplantation, IRCCS-ISMETT (Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione) , Palermo,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David M","family":"McMullan","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Seattle Children Hospital , Seattle, WA,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Udo","family":"Boeken","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Heinrich Heine University , 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