Technique Article

Novel Multi-Functional Life Support System

^* Vanderbilt Heart Institute, Vanderbilt University Medical Center, Nashville, Tennessee
^† Division of Perfusion Services, Vanderbilt University Medical Center, Nashville, Tennessee

Address correspondence to: David Webb, MS, Chief/Program Director, Division of Perfusion Services, Vanderbilt University Medical Center, 2971 TVC, 1211 22nd Avenue South, Nashville, TN 37232.

Received: 26 January 2010
Accepted: 3 August 2010

Abstract

Concepts of cardiopulmonary support (CPS), extra-corporeal membrane oxygenation (ECMO), and ventricular support (VS) have been thoroughly studied and refined. These perfusion adjuncts often require multiple devices, skill sets, and significant financial burden to purchase, maintain, deploy, and use. We describe a novel system that is rapidly deployable, user-friendly, portable, safe, and economical. Over a 1-year period we have used a multi-functional life support system (MLS) in the cardiac catheterization laboratory, cardiovascular intensive care unit, and cardiac surgical suites. Further, we have conducted multiple transports within the hospital and one to an alternate facility. Applications have included ECMO, cardiopulmonary resuscitation-supported cardiogenic shock, high risk percutaneous coronary intervention (PCI), valvuloplasty, right ventricular assist device transition to ECMO post cardiotomy, left ventricular assist device transition to ECMO, ventricular septal defect closure, and ECMO transition to conventional cardiopulmonary bypass (CPB). Duration of support has ranged from approximately 39 minutes to several days.