The role of extracorporeal membrane oxygenation circulatory support in the 'crash and burn' patient: from implantation to weaning

Curr Opin Cardiol. 2014 May;29(3):275-80. doi: 10.1097/HCO.0000000000000061.

Abstract

Purpose of review: In advanced cardiogenic shock, early mechanical circulatory support may prevent multiorgan failure and death. In this article, we are describing our experience with extracorporeal membrane oxygenation (ECMO) application.

Recent findings: Venoarterial ECMO has been used successfully as a therapeutic option for patients with advanced cardiogenic shock and cardiac arrest.

Summary: In this review, based on the daily routine of the Hershey group using ECMO for therapy of advanced cardiogenic shock, the application of ECMO is described. The aim is to share our hands-on experience during emergent implantation and to contribute to the knowledge within the field of mechanical circulatory support.

Publication types

  • Review

MeSH terms

  • Assisted Circulation / methods
  • Contraindications
  • Extracorporeal Membrane Oxygenation* / adverse effects
  • Extracorporeal Membrane Oxygenation* / instrumentation
  • Extracorporeal Membrane Oxygenation* / methods
  • Hemodynamics
  • Humans
  • Multiple Organ Failure* / etiology
  • Multiple Organ Failure* / physiopathology
  • Multiple Organ Failure* / prevention & control
  • Outcome Assessment, Health Care
  • Postoperative Complications / classification*
  • Shock, Cardiogenic* / complications
  • Shock, Cardiogenic* / diagnosis
  • Shock, Cardiogenic* / physiopathology
  • Shock, Cardiogenic* / therapy
  • Trauma Severity Indices