Mechanical Circulatory Support

Mechanical circulatory support is becoming more frequently utilised in the intensive care and cardiac surgical setting. From extra-corporal membrane oxygenation (ECMO) to ventricular assist devices (VADs), there are newer models, and variations in configurations to accommodate expanding indications. This thesis aims to determine the current progress of mechanical circulatory support in the cardiac surgical setting. This ranges from the use of VA-ECMO in the post-cardiotomy period, simultaneous mechanical device usage (IABP and ECMO, ECMO and VADs), and the latest in ventricular assist device advancement (HeartMate III). Throughout this thesis, several studies have been performed, aiming to determine the most optimal use of these devices, and ensure the best outcomes for patients.