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Crit Care. 2015 Dec 17;19:431. doi: 10.1186/s13054-015-1155-7.

Extracorporeal membrane oxygenation (ECMO) for critically ill adults in the emergency department: history, current applications, and future directions.

Author information

1
Department of Emergency Medicine, University of Arizona, 1609 N. Warren Ave, Tucson, AZ, 85724, USA. jmosier@aemrc.arizona.edu.
2
Arizona Emergency Medicine Research Center, University of Arizona, 1609 N. Warren Ave, Tucson, AZ, 85724, USA. jmosier@aemrc.arizona.edu.
3
Division of Pulmonary, Critical Care, Allergy and Sleep, Department of Medicine, University of Arizona, 1501 N Campbell Ave, Tucson, AZ, 85721, USA. jmosier@aemrc.arizona.edu.
4
Department of Emergency Medicine, University of Arizona, 1609 N. Warren Ave, Tucson, AZ, 85724, USA.
5
Division of Pulmonary, Critical Care, Allergy and Sleep, Department of Medicine, University of Arizona, 1501 N Campbell Ave, Tucson, AZ, 85721, USA.
6
Division of Emergency Critical Care, Department of Emergency Medicine, University of Michigan Health System, 1500 E. Medical Center Drive, Ann Arbor, MI, 48109, USA.
7
Division of Pediatric Intensive Care, Department of Pediatrics, University of Arizona, 1501 N Campbell Ave, Tucson, AZ, 85721, USA.
8
Arizona Emergency Medicine Research Center, University of Arizona, 1609 N. Warren Ave, Tucson, AZ, 85724, USA.

Abstract

Extracorporeal membrane oxygenation (ECMO) is a mode of extracorporeal life support that augments oxygenation, ventilation and/or cardiac output via cannulae connected to a circuit that pumps blood through an oxygenator and back into the patient. ECMO has been used for decades to support cardiopulmonary disease refractory to conventional therapy. While not robust, there are promising data for the use of ECMO in acute hypoxemic respiratory failure, cardiac arrest, and cardiogenic shock and the potential indications for ECMO continue to increase. This review discusses the existing literature on the potential use of ECMO in critically ill patients within the emergency department.

PMID:
26672979
PMCID:
PMC4699333
DOI:
10.1186/s13054-015-1155-7
[Indexed for MEDLINE]
Free PMC Article

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