EXPORT CITATION

Chapter-16 ECMO: Need of the Hour

BOOK TITLE: Yearbook of Anesthesiology-7

Author
1. Kapoor Poonam Malhotra
2. Aggarwal Shivani
ISBN
9789352702978
DOI
10.5005/jp/books/14141_17
Edition
1/e
Publishing Year
2018
Pages
11
Author Affiliations
1. Cardiac Anesthesia, CN Center, All India Institute of Medical Sciences, New Delhi, India, Cardiothoracic and Neurosciences Center, All India Institute of Medical Sciences, New Delhi, India; Society of Cardiac Anesthesia, New Delhi and NCR Branch; Indian Association of Cardiovascular Thoracic Anesthesiologists (IACTA) Education and Research Cell, Cardiothoracic and Neurosciences Center, All India Institute of Medical Sciences New Delhi, India; Society of Cardiac Anesthesia, New Delhi and NCR Branch; IACTA Education and Research Cell; Annals of Cardiac Anesthesia, Cardio-Neuro Center (CNC), All India Institute of Medical Sciences, New Delhi, India; Society of Cardiac Anesthesia, Delhi and NCR Branch; Indian Association of Cardiovascular Thoracic Anesthesiologists (IACTA), Cardio-Thoracic Center, All India Institute of Medical Sciences (AIIMS), New Delhi, India, All India Institute of Medical Sciences (AIIMS), New Delhi, India, Cardiothoracic Centre (CTC), All India Institute of Medical Sciences, New Delhi, Indi
2. Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India, Cardiothoracic Centre (CTC), All India Institute of Medical Sciences New Delhi, India, drshivani.del@gmail.com
Chapter keywords
Extracorporeal membrane oxygenation, ECMO, echocardiography, intra-aortic balloon pump, IABP, extracorporeal life support, ECLS, veno-venous ECMO, veno-arterial ECMO

Abstract

Extracorporeal membrane oxygenation or ECMO is used for cardiac and/or respiratory failure when all other treatment modalities fail. Initially, ECMO was used only for oxygenating the blood, but later more emphasis was laid on removing carbon dioxide and the term extracorporeal carbon dioxide removal was coined. It is increasingly being used today in all ICUs because of its sleek design and portability. Two types of ECMO are known, the veno-venous (V-V) and veno-arterial (V-A) and indications for both are different. This chapter covers the history of ECMO, ECMO and the ELSO registry, factor affecting gaseous exchange, monitoring of ECMO, and future of ECMO. Complications like bleeding, thrombosis and emboli are known which decrease the ECMO flows. Echocardiography, NIRS, central/mixed venous oxygenation with precept/ pulmonary artery catheter, serum lactate and coagulation monitoring parameters like prothrombin time and fibrinogen level are essential parameters for monitoring in smooth ECMO run.

Related Books

© 2019 Jaypee Brothers Medical Publishers (P) LTD.   |   All Rights Reserved

Powered by MPS ScholarStor