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 Extracorporeal membrane oxygenation - An anesthesiologist's perspective - Part II: Clinical and technical consideration

Sandeep Chauhan, S Subin
Department of Cardiac Anaesthesia, C.N.C, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Sandeep Chauhan
Department of Cardiac Anaesthesia, C.N.C, 7th Floor, A.I.I.M.S. New Delhi - 110 039
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.91485

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Year : 2012  |  Volume : 15  |  Issue : 1  |  Page : 69-82

 
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Although the concept of extracorporeal membrane oxygenation (ECMO) has remained unchanged, component technology has evolved considerably over the past three decades. Presently the clinical conditions requiring ECMO support have been updated with input from the outcome data of patient registries. Modern circuit configuration has become less cumbersome, safer, and more efficient. Technological advances now allow prolonged support with fewer complications compared to the past eras and facilitate transition to a single bedside caregiver model, similar to hemofiltration or ventricular-assist devices. The clinical considerations and indicators for placing the patient on ECMO, the various circuit configurations, clinical and technical issues, and management aspects are considered in this article.






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  © Annals of Cardiac Anaesthesia | Published by Wolters Kluwer - Medknow
 Online since 5th January, 2008

 

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Sandeep Chauhan, S Subin
Department of Cardiac Anaesthesia, C.N.C, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Sandeep Chauhan
Department of Cardiac Anaesthesia, C.N.C, 7th Floor, A.I.I.M.S. New Delhi - 110 039
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.91485

Rights and Permissions

Although the concept of extracorporeal membrane oxygenation (ECMO) has remained unchanged, component technology has evolved considerably over the past three decades. Presently the clinical conditions requiring ECMO support have been updated with input from the outcome data of patient registries. Modern circuit configuration has become less cumbersome, safer, and more efficient. Technological advances now allow prolonged support with fewer complications compared to the past eras and facilitate transition to a single bedside caregiver model, similar to hemofiltration or ventricular-assist devices. The clinical considerations and indicators for placing the patient on ECMO, the various circuit configurations, clinical and technical issues, and management aspects are considered in this article.






[FULL TEXT] [PDF]*


        
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  Sitemap | Feedback | Disclaimer | What's New |  
  © Annals of Cardiac Anaesthesia | Published by Wolters Kluwer - Medknow
 Online since 5th January, 2008