Venovenous Extracorporeal Membrane Oxygenation in Intractable Pulmonary Insufficiency: Practical Issues and Future Directions

T. S. R. Delnoij*, R. Driessen, Ajay S. Sharma, E. A. Bouman, U. Strauch, P. M. Roekaerts

*Corresponding author for this work

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Abstract

Venovenous extracorporeal membrane oxygenation (vv-ECMO) is a highly invasive method for organ support that is gaining in popularity due to recent technical advances and its successful application in the recent H1N1 epidemic. Although running a vv-ECMO program is potentially feasible for many hospitals, there are many theoretical concepts and practical issues that merit attention and require expertise. In this review, we focus on indications for vv-ECMO, components of the circuit, and management of patients on vv-ECMO. Concepts regarding oxygenation and decarboxylation and how they can be influenced are discussed. Day-to-day management, weaning, and most frequent complications are covered in light of the recent literature.
Original languageEnglish
Article number9367464
Number of pages13
JournalBioMed Research International
Volume2016
DOIs
Publication statusPublished - 2016

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