Applied Uses of Extracorporeal Membrane Oxygenation Therapy

Cureus. 2019 Jul 17;11(7):e5163. doi: 10.7759/cureus.5163.

Abstract

Extracorporeal membrane oxygenation (ECMO) therapy has been around since the 1970s and has completely changed how critical care physicians view supportive therapy for certain patients. ECMO therapy is a supportive therapy provided by a mechanical extracorporeal circuit that is able to directly oxygenate and remove carbon dioxide from the blood. By performing this, ECMO can provide cardiac, respiratory, or combined cardiopulmonary supportive therapy in cases of failure. ECMO therapy also places less emphasis on invasive mechanical ventilation, which prevents barotrauma and gives rest to the lungs. Therefore, they are used for several different conditions. This review article focuses on the definition, principles, types, and practical applications of ECMO therapy.

Keywords: cardiogenic shock; cardiopulmonary resuscitation (cpr); extracorporeal membrane oxygenation (ecmo); femoral vein; lung rest; pulmonary embolism; respiratory failure; sepsis-induced cardiomyopathy; venoarterial extracorporeal membrane oxygenation (va-ecmo); venovenous extracorporeal membrane oxygenation (vv-ecmo).

Publication types

  • Review