Research progress of portable extracorporeal membrane oxygenation

Expert Rev Med Devices. 2023 Mar;20(3):221-232. doi: 10.1080/17434440.2023.2185136. Epub 2023 Mar 3.

Abstract

Introduction: Extracorporeal membrane oxygenation (ECMO) is primarily used for the supportive treatment of patients suffering from severe cardiopulmonary failure. With the continued development of ECMO technology, the relevant scenarios also extend pre-hospital and inter-hospital. In order to meet the needs of emergency treatment in communities, disaster sites and battlefields, inter-hospital transfer and evacuation; miniaturized and portable ECMO has become a current research hotspot.

Area covered: The paper first introduces the principle, composition and common modes of ECMO and summarizes the research status of portable ECMO, Novalung and wearable ECMO, analyzes the characteristics and shortcomings of existing equipment. finally, we discussed the focus and development trend of portable ECMO technology.

Expert opinion: Currently, portable ECMO has many applications in interhospital transport and there are various studies on portable and wearable ECMO devices, but the development of portable ECMO still faces many challenges. In the future, research related to integrated components, rich sensor arrays, Intelligent ECMO system and lightweight technology can make future portable ECMO more suitable for pre-hospital emergency and interhospital transport.

Keywords: ECMO; portable; prehospital ECLS; transport; wearable.

MeSH terms

  • Extracorporeal Membrane Oxygenation* / adverse effects
  • Hospitals
  • Humans
  • Respiratory Insufficiency* / therapy
  • Technology