Year in Review 2015: Extracorporeal Membrane Oxygenation

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Year in Review 2015: Extracorporeal Membrane Oxygenation.

Extracorporeal membrane oxygenation (ECMO) is a modified form of cardiopulmonary bypass. Although early trials were plagued by severe bleeding and high rates of death, subsequent experience with neonates found good survival, and ECMO became an important tool in the care of critically ill infants with respiratory failure. Since the 1980s, expansion to other groups (children, patients with cardia...

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Clinical review: Extracorporeal membrane oxygenation

The H1N1 flu pandemic led to a wider use of extracorporeal membrane oxygenation (ECMO), proving its power in hypoxemic emergencies. The results obtained during this pandemic, more than any randomized trial, led to the worldwide acceptance of the use of membrane lungs. Moreover, as centers that applied this technique as rescue therapy for refractory hypoxemia recognized its strength and limited ...

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Extracorporeal Membrane Oxygenation

Cerebral perfusion temperatures during antegrade cerebral perfusion and their affect on cerebral metabolism and neurological outcomes are evaluated in this study. Young piglets were subjected to a period of hypothermic circulatory arrest at 20°C using alphastat pH management. Four study groups were then assigned to differing temperatures of selective cerebral perfusion. Lower perfusion temperat...

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Extracorporeal membrane oxygenation

Extracorporeal membrane oxygenation (ECMO) is a technique that involves oxygenation of blood outside the body, and provides support to selected patients with severe respiratory or cardiac failure. The two major ECMO modalities are venoarterial and venovenous. Data from several randomised trials support the use of ECMO in neonatal respiratory failure, and a recent randomised controlled trial of ...

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Extracorporeal membrane oxygenation in adults.

SUMMARY This paper is the summation of five years' work studying clinical and economic outcomes comparing the use of extracorporeal membrane oxygenation (ECMO) and conventional medical care to treat severe respiratory failure. Extracorporeal membrane oxygenation is an intervention, which, like cardiac bypass, can support a failing myocardium when used in a veno-arterial mode. This trial, Conven...

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ژورنال

عنوان ژورنال: Respiratory Care

سال: 2016

ISSN: 0020-1324,1943-3654

DOI: 10.4187/respcare.04985