Know the Common Problems Associated With Cardiopulmonary Support Using Extracorporeal Membrane Oxygenation
Andrew L. Rosenberg MD
Venoarterial extracorporeal life support (VA ECMO) is among the more advanced methods to temporarily support patients with either cardiac or cardiac and pulmonary failure until patient recovery, assist device implantation, or transplant. The indications and contraindications for this type of support are listed in Table 95.1. Managing these patients is challenging, and sophisticated teams of perfusionists, intensivists, and surgeons are required. The advantages of using ECMO instead of a ventricular assist device include
the ability to cannulate patients at a bedside
immediate biventricular support
both cardiac and pulmonary support
ability to assess patients off ECMO prior to decannulation
ability to change to venovenous cannulation if hemodynamic failure improves while pulmonary support is still required
TABLE 95-1 INDICATIONS AND CONTRAINDICATIONS OF ADULT ECMO | ||||||||||||||||
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