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

Delnoij TS, Driessen R, Sharma AS, Bouman EA, Strauch U, Roekaerts PM - Biomed Res Int (2016)

Bottom Line: 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.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.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiology, Maastricht University Medical Center, 6202 AZ Maastricht, Netherlands; Department of Intensive Care, Maastricht University Medical Center, 6202 AZ Maastricht, Netherlands.

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.

No MeSH data available.


Basic vv-ECMO setup.
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fig1: Basic vv-ECMO setup.

Mentions: The vv-ECMO circuit mainly comprises cannulae, tubing, pump, oxygenator, and a heat exchanger. The drainage cannula removes blood from the patient, mainly driven by gravity funneling. This deoxygenated blood is pumped through the oxygenator and returns, temperature controlled, to the patient through the return cannula (Figure 1).


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

Delnoij TS, Driessen R, Sharma AS, Bouman EA, Strauch U, Roekaerts PM - Biomed Res Int (2016)

Basic vv-ECMO setup.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4835630&req=5

fig1: Basic vv-ECMO setup.
Mentions: The vv-ECMO circuit mainly comprises cannulae, tubing, pump, oxygenator, and a heat exchanger. The drainage cannula removes blood from the patient, mainly driven by gravity funneling. This deoxygenated blood is pumped through the oxygenator and returns, temperature controlled, to the patient through the return cannula (Figure 1).

Bottom Line: 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.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.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiology, Maastricht University Medical Center, 6202 AZ Maastricht, Netherlands; Department of Intensive Care, Maastricht University Medical Center, 6202 AZ Maastricht, Netherlands.

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.

No MeSH data available.