Background Extracorporeal membrane oxygenation (ECMO) is used for severe lung and/or heart failure in intensive care units (ICU). The Prince Charles Hospital (TPCH) has one of the largest ECMO units in Australia. Its use rapidly increased during the H1N1 (“swine flu”) pandemic and an increase in pedal complications resulted. The relationship between ECMO and pedal complications has been describ...

The Avalon dual lumen cannula is presently the cannula of choice for veno-venous extracorporeal membrane oxygenation (VV-ECMO) via right internal jugular cannulation. This cannula establishes VV-ECMO with a single cannulation; however, it requires appropriate positioning to gain adequate oxygenation. Malposition of this cannula can cause inadequate ECMO flow, hypoxia, and structural injury. We ...

Extracorporeal 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...

Extracorporeal membrane oxygenation (ECMO) is a rescue therapy for patients with cardio-respiratory failure. Establishing, maintaining and weaning from ECMO may increase the risk for intracranial injury. We used a dual channel near infrared system to monitor cerebral and peripheral tissue oxygenation in 3 venoarterial (VA) and 1 venovenous (VV) ECMO patients undergoing manipulations in the ECMO...

With significant improvements in percutaneous coronary intervention (PCI) technology, complex high risk PCI is increasingly offered to patients with limited revascularization options. Percutaneous mechanical circulatory support devices are often utilized for hemodynamic support during these complex procedures. Veno-arterial extracorporeal membrane oxygenation (ECMO) allows full hemodynamic supp...

Although supraventricular tachycardia (SVT) is usually well tolerated in most infants and older children, it can lead to cardiovascular collapse in some infants. We present one neonate in whom venoarterial extracorporeal membrane oxygenation (VA ECMO) was used to support for life-threatening cardiogenic shock secondary to intractable SVT. ECMO facilitated myocardial recovery and subsequently an...

Introduction ‘Awake’ extracorporeal membrane oxygenation (ECMO) is being used increasingly as a bridge to lung transplant (LuTx) to support refractory respiratory failure as an alternative to invasive mechanical ventilation and associated immobilisation and deconditioning which are associated with poor outcome. The ideal combination of ECMO cannulation and muscle training has yet to be determin...

Abstract Venoarterial extracorporeal membrane oxygenation (VA ECMO) aims to fully support heart and lung function in postcardiac patients, ensuring end-organ perfusion allowing time for possible recovery. VA ECMO is considered the modified extended form of cardiopulmonary bypass (CPB), which used provide adequate tissue oxygenation. associated management protocols will mechanically patient allo...

Nutrition accrual on extracorporeal membrane oxygenation (ECMO) is the need of hour. The crescendo interest in nutrition optimization ECMO comes wake recent American Society for Parenteral and Enternal (ASPEN) guidelines pediatric patients.[1] Due to technical hazards ECMO, presence a multitude inotropes, hemodynamic perturbations, risk ischemic bowel, association with therapy controversial.[2]...

Venovenous extracorporeal membrane oxygenation (vv-ECMO) is a highly invasive method for organ support that is gaining in popularity due to recent technical advances and its successful application in the recent H1N1 epidemic. Although running a vv-ECMO program is potentially feasible for many hospitals, there are many theoretical concepts and practical issues that merit attention and require ex...