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Italian Cardiogenic Shock Working Group

Italian Cardiogenic Shock Working Group. Group of physicians and other medical professional to clarify the management of Cardiogenic Shock in Italy Condivision of Experience & Opinion. No disclosure Open & Spontaneous 1° Meeting Call: Milan, 2010 September.

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Italian Cardiogenic Shock Working Group

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  1. Italian Cardiogenic Shock Working Group

  2. Group of physicians and other medical professional to clarify the management of Cardiogenic Shock in Italy Condivision of Experience & Opinion

  3. No disclosure • Open & Spontaneous • 1° Meeting Call: • Milan, 2010 September

  4. Ospedale SS. Orsola, Bologna Ospedale San Gerardo Monza Azienda Ospedaliera di Padova Padova Ospedale S. Camillo Roma Ospedali Civili Riuniti Brescia Istituto San Raffaele Milano Ospedale Careggi Firenze Ospedale Le Molinette Torino Ospedale Niguarda Milano Azienda Ospedaliera di Chieti Chieti Ospedale Santa Maria degli Angeli Udine Policlinico Gemelli Roma ISMET Palermo

  5. Ospedale SS. Orsola, Bologna Ospedale San Gerardo Monza Azienda Ospedaliera di Padova Padova Ospedale S. Camillo Roma Ospedali Civili Riuniti Brescia Istituto San Raffaele Milano Ospedale Careggi Firenze Ospedale Le Molinette Torino Ospedale Niguarda Milano Azienda Ospedaliera di Chieti Chieti Ospedale S Maria degli Angeli Udine Policlinico Gemelli Roma ISMET Palermo Azienda Ospedaliera di Pisa Pisa Ospedale L. Sacco Milano Ospedale Monzino Monza Istituto di Cura San Donato Milano Policlinico San Matteo Pavia Organizzazione Emergenza 118 Milano Ospedale San Carlo Milano Azienda Ospedaliera di Ravenna Ravenna Azienda Ospedaliera di Verrona Verona FIC SICCH ITACTA

  6. While the ‘definitive’ treatment of cardiogenic shock depends of the cause, the initial management and assessment are essential to limit the damage due to global tissue hypoperfusion

  7. The key to good outcome in patients with cardiogenic shock is an organized and multidisciplinary approach Timing

  8. Epidemiology of Cardiogenic Shock in Italy LomardIMA Registry Italian ISS (SDO) GISE AMCO Licterature Cardiac Therapy Hub & Spoke Organizations

  9. Hub & Spoke Organization in Italy: 1. Level 2. Level: Cardiac Surgery Center 3. Level: Trasplant or VAD program Center

  10. Aggressive approach to support the circulatory system in cardiogenic shock with a extracorporeal life support is appropriate after the failure of medical treatment and an IABP, when the cause is potentially reversible or if the device can be used as a bridge option

  11. Indication Controindication Timing Management of ECLS/ECMO: Cannulation Anticoagulation Protocol Complications Treatment Complications Prevention Education Define the technical, surgical and medical expertise

  12. TREND ECMO 1986 - 2011

  13. TREND ECMO 2007 - 2011

  14. VV - VA

  15. N° Transfert

  16. ECMO 2008

  17. ECMO 2009

  18. ECMO 2011

  19. Set Up ECMO circuit

  20. Perfusionist Emergent/urgent

  21. URGENT 1,85/ ECMO Emergent 1/ 18 ECMO

  22. Transfer Programm

  23. ECMO in Cath Lab Acute Coronary Syndrome/PTCA Ablation Procedure TAVI procedure

  24. ECMO program Free diffusion?

  25. Italian Cardiogenic Shock Working Group: Position Paper for Cardiogenic Shock treatment Use of ECMO in adult patients Educational Program

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