A Review of the Fundamental Principles and Evidence Base in the Use of Extracorporeal Membrane Oxygenation (ECMO) in Critically Ill Adult Patients
2011; SAGE Publishing; Volume: 26; Issue: 1 Linguagem: Inglês
10.1177/0885066610384061
ISSN1525-1489
AutoresSteve Allen, Daniel N. Holena, Maureen McCunn, Benjamin Kohl, Babak Sarani,
Tópico(s)Heart Failure Treatment and Management
ResumoExtracorporeal membrane oxygenation (ECMO) comprises a commonly used method of extracorporeal life support. It has proven efficacy and is an accepted modality of care for isolated respiratory or cardiopulmonary failure in neonatal and pediatric populations. In adults, there are conflicting studies regarding its benefit, but it is possible that ECMO may be beneficial in certain adult populations beyond postcardiotomy heart failure. As such, all intensivists should be familiar with the evidence-base and principles of ECMO in adult population. The purpose of this article is to review the evidence and to describe the fundamental steps in initiating, adjusting, troubleshooting, and terminating ECMO so as to familiarize the intensivist with this modality.
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