ID 112039
Title Alternative
Review of extra corporeal membrane oxygenation (ECMO) in critically ill patients
Author
Keywords
Veno-arterial ECMO
Veno-venous ECMO
Pulmonary or cardiac failure
extracorporeal life support
cardiopulmonary resuscitation
Content Type
Journal Article
Description
Extra Corporeal Membrane Oxygenation (ECMO) indications and usage has strikingly progressed over the last 20 years. It has become essential tool in the care of adults and children with severe cardiac and pulmonary dysfunction refractory to conventional management. Most commonly, it is instituted in an emergency or urgent situation after failure of other treatment modalities. It is used as temporary support, usually awaiting recovery of organs, or a bridging treatment to a ventricular assist device or cardiac transplantation.
ECMO can be deployed in a veno-arterial configuration for the treatment of cardiogenic shock or as a tool for cardiopulmonary resuscitation. This is usually seen post cardiac surgery, septic shock, in severe cardiac failure due to almost any other cause ; cardiomyopathy, myocarditis, acute coronary syndrome with cardiogenic shock and cardiopulmonary arrest. Veno-venous ECMO is used for respiratory failure and usually involves peripheral cannulation using the femoral veins and/or internal jugular vein. The indications for veno-venous ECMO are respiratory failure, most commonly due to pneumonia, adult respiratory distress syndrome (ARDS), or primary graft failure following lung transplantation.
In this article we will provide a review of ECMO development, clinical indications, complications, and patients’ management while on ECMO.
Journal Title
Shikoku Acta Medica
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
73
Issue
5-6
Start Page
207
End Page
220
Sort Key
207
Published Date
2017-12-25
FullText File
language
jpn
TextVersion
Publisher
departments
University Hospital