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What does ECMO stand Extracorporeal membrane oxygenation (also referred to
for? as Extracorporeal life support ECLS)
An external technique of prolonging respiratory and/or
cardiac support for patients whose lungs/heart are
Briefly describe what unable to function to provide adequate gas
ECMO is for and how it exchange/tissue perfusion to sustain life.
works.
Blood is removed from the body, externally oxygenated
and then circulated back into the body.
-Heart attack
-Overdose
What are some medical
-Pulmonary HTN
conditions that might
-RDS
indicate the use of ECMO?
-Low cardiac output
-In need of a heart transplant
-Maxed out vasopressor support
What are some indications
-Maxed out ventilator support
for the use of ECMO?
-Ballon pump/impella on maximal settings
-Age >75
-Terminally ill patient (must have a chance of meaningful
recovery)
What are contraindications
-End stage malignancy/patient on chemo
for ECMO?
-Patient has a poor neurologic prognosis
-Sepsis without source control
-CPR preformed >30 minutes
Cannulation = ? Continuation of care
Decannulation = ? Discontinuation of care