to play a role in the lowered LVSF. Pneumothorax and pericardial tamponade are
life threatening intrathoracic complications which demonstrate increasing PaO 2
with decreasing peripheral perfusion and SvO 2 followed by decreasing ECLS
flow and progressive deterioration. The presentation can be similar to
“myocardial stun” seen on initiation of ELCS, therefore, it is important to seek and
identify these conditions quickly. Initial emergent placement of a pleural or
pericardial drainage catheter followed by thoracotomy for definitive treatment of a
pericardial tamponade may be lifesaving.
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