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Extracorporeal Membrane Oxygenation: Set-up, Indications, and Complications

Niroomand, Anna LU ; Olm, Franziska LU orcid and Lindstedt, Sandra LU (2023) In Advances in Experimental Medicine and Biology p.291-312
Abstract
Extracorporeal membrane oxygenation (ECMO) occupies an increasingly important position in the clinic for the management of cardiac and/or pulmonary failure. As a rescue therapy, ECMO can support patients following respiratory or cardiac compromise to act as a bridge to recovery, to decision, or to transplant. This chapter reviews briefly the history of ECMO implementation as well as device modes, from veno-arterial, veno-venous, veno-arterial-venous, and veno-venous-arterial set-ups. The importance of acknowledging complications that can arise in each of these modes cannot be overlooked. Both bleeding and thrombosis are inherent risks to the use of ECMO and the existing strategies for management are reviewed. The device also elicits an... (More)
Extracorporeal membrane oxygenation (ECMO) occupies an increasingly important position in the clinic for the management of cardiac and/or pulmonary failure. As a rescue therapy, ECMO can support patients following respiratory or cardiac compromise to act as a bridge to recovery, to decision, or to transplant. This chapter reviews briefly the history of ECMO implementation as well as device modes, from veno-arterial, veno-venous, veno-arterial-venous, and veno-venous-arterial set-ups. The importance of acknowledging complications that can arise in each of these modes cannot be overlooked. Both bleeding and thrombosis are inherent risks to the use of ECMO and the existing strategies for management are reviewed. The device also elicits an inflammatory response, and the use of extracorporeal approaches can lead to infection, both of which are important to examine when reflecting how ECMO can be successfully implemented in patients. This chapter both discusses the understanding of these various complications and highlights the need for future research. (Less)
Please use this url to cite or link to this publication:
author
; and
organization
publishing date
type
Chapter in Book/Report/Conference proceeding
publication status
published
subject
host publication
Engineering Translational Models of Lung Homeostasis and Disease
series title
Advances in Experimental Medicine and Biology
editor
Magin, Chelsea M.
pages
291 - 312
external identifiers
  • scopus:85159757367
  • pmid:37195537
ISSN
2214-8019
0065-2598
ISBN
978-3-031-26627-0
978-3-031-26625-6
DOI
10.1007/978-3-031-26625-6_15
language
English
LU publication?
yes
id
2bd03628-9131-4f1a-95f4-85e079b8032b
date added to LUP
2023-05-20 12:48:52
date last changed
2024-04-19 21:53:10
@inbook{2bd03628-9131-4f1a-95f4-85e079b8032b,
  abstract     = {{Extracorporeal membrane oxygenation (ECMO) occupies an increasingly important position in the clinic for the management of cardiac and/or pulmonary failure. As a rescue therapy, ECMO can support patients following respiratory or cardiac compromise to act as a bridge to recovery, to decision, or to transplant. This chapter reviews briefly the history of ECMO implementation as well as device modes, from veno-arterial, veno-venous, veno-arterial-venous, and veno-venous-arterial set-ups. The importance of acknowledging complications that can arise in each of these modes cannot be overlooked. Both bleeding and thrombosis are inherent risks to the use of ECMO and the existing strategies for management are reviewed. The device also elicits an inflammatory response, and the use of extracorporeal approaches can lead to infection, both of which are important to examine when reflecting how ECMO can be successfully implemented in patients. This chapter both discusses the understanding of these various complications and highlights the need for future research.}},
  author       = {{Niroomand, Anna and Olm, Franziska and Lindstedt, Sandra}},
  booktitle    = {{Engineering Translational Models of Lung Homeostasis and Disease}},
  editor       = {{Magin, Chelsea M.}},
  isbn         = {{978-3-031-26627-0}},
  issn         = {{2214-8019}},
  language     = {{eng}},
  month        = {{05}},
  pages        = {{291--312}},
  series       = {{Advances in Experimental Medicine and Biology}},
  title        = {{Extracorporeal Membrane Oxygenation: Set-up, Indications, and Complications}},
  url          = {{http://dx.doi.org/10.1007/978-3-031-26625-6_15}},
  doi          = {{10.1007/978-3-031-26625-6_15}},
  year         = {{2023}},
}