Extracorporeal life support

Gaffney, Alan M.; Wildhirt, Stephen M.; Griffin, Michael J.; Annich, Gail M.; Radomski, Marek W.
November 2010
BMJ: British Medical Journal (Overseas & Retired Doctors Edition;11/6/2010, Vol. 341 Issue 7780, p982
Academic Journal
The article offers information on extracorporeal life support (ECLS), a variation of cardiopulmonary bypass. ECLS can be undertaken either by venous-venous cannulation for isolated respiratory failure, or venous-arterial cannulation for cardiac failure with or without failure. It is said to be beneficial to patients who are at high risk of death and who have not responded to conventional management. It is also indicated to patients whose underlying respiratory or cardiac disease is reversible. The complications associated with ECLS are discussed, along with the timing for ECLS referral. In addition, the article highlights the long-term effects of ECLS. INSET: A PATIENT'S PERSPECTIVE.


Related Articles

  • Nutritional implications for the patient undergoing extracorporeal membrane oxygenation. Magdalena Farías, María; Olivos, Cristina; Díaz, Rodrigo // Nutricion Hospitalaria;jun2015, Vol. 31 Issue 6, p2346 

    Extracorporeal membrane oxygenation (ECMO) for cardiovascular collapse or catastrophic respiratory failure in the critically ill patient imposes a multidisciplinary approach. Nutritional support is one of the issues that must be faced, as this population presents a state of increased metabolic...

  • What's new in paediatric extracorporeal membrane oxygenation? MacLaren, Graeme; Brown, Kate; Thiagarajan, Ravi // Intensive Care Medicine;Sep2014, Vol. 40 Issue 9, p1355 

    This article presents information on extracorporeal membrane oxygenation (ECMO) in pediatrics. It discusses the use of ECMO for chronic respiratory failure in children, mortality after hospital discharge of patients who underwent ECMO, technological advances in ECMO, and the challenge in...

  • Extracorporeal Membrane Oxygenation for Neonatal Respiratory Failure. Betit, Peter; Craig, Nancy // Respiratory Care;Sep2009, Vol. 54 Issue 9, p1244 

    Extracorporeal membrane oxygenation (ECMO) is a form of cardiopulmonary bypass adapted for long-term use. Blood is drained from the patient, pumped through an artificial lung or membrane where gas exchange is augmented, and then re-infused back to the patient. ECMO provides support for the...

  • Airway emergency during general anesthesia in a child with plastic bronchitis following Fontan surgery: a case report. Nakamoto, Hirofumi; Kayama, Satoru; Harada, Mae; Honjo, Takahiro; Kubota, Kinuko; Sawamura, Shigehito // JA Clinical Reports;1/21/2020, Vol. 6 Issue 1, p1 

    Background: Plastic bronchitis (PB) is a complication of Fontan surgery, results in the formation of mucus plug in the tracheobronchial tree, causing potentially fatal airway obstruction. We report critical airway emergency during general anesthesia in a child with plastic bronchitis. Case...

  • Extracorporeal Membrane Oxygenation: Quo Vadis? Betit, Peter // Respiratory Care;Jul2009, Vol. 54 Issue 7, p948 

    Extracorporeal membrane oxygenation, a form of artificial circulatory support, continues to evolve beyond its well-established neonatal applications. It is often the most aggressive aspect of treatment algorithms in the management of severe respiratory and cardiac failure. While its use is...

  • Results of extracorporeal life support implementation in routine clinical practice: single center experience. Biočina, Bojan; Petričević, Mate; Belina, Dražen; Gašparović, Hrvoje; Svetina, Lucija; Konosić, Sanja; White, Alexandra; Ivančan, Višnja; Kopjar, Tomislav; Miličić, Davor // Croatian Medical Journal;Dec2014, Vol. 55 Issue 6, p600 

    Aim: To describe our experience in the clinical application of extracorporeal life support (ECLS) and analyze whether ECLS leads to acceptable clinical outcomes in patients with cardiac failure. Methods: Data from clinical database of University Hospital Center Zagreb, Croatia, on 75 patients...

  • Veno-Arterial Extracorporeal Membrane Oxygenation for High-Risk Cardiac Catheterisation Procedures Spina, Roberto; Forrest, A.P.; Adams, Mark R.; Wilson, Michael K.; Ng, Martin K.; Vallely, Michael P. // Heart, Lung & Circulation;Dec2010, Vol. 19 Issue 12, p736 

    Extracorporeal membrane oxygenation (ECMO) provides circulatory or respiratory support, or both, to patients with severe but potentially reversible cardiac or respiratory failure refractory to standard therapy. The use of ECMO in the paediatric cardiac surgical population is established....

  • Extracorporeal membrane oxygenation for severe acute respiratory failure in adults: NICE guidance. Bastin, Anthony J.; Firmin, Richard // Heart;Oct2011, Vol. 97 Issue 20, p1701 

    Extracorporeal membrane oxygenation (ECMO) is a modified form of cardiopulmonary bypass that allows short-term support for potentially reversible severe acute respiratory and/or cardiac failure in critically ill adults and children. There is increasing interest in veno-venous (VV) ECMO for...

  • Inter-Hospital Transportation of Patients on Extracorporeal Life Support: A Single Center Experience. Yang Hyun Cho; Ji-Hyuk Yang; Jin-Ho Choi; Jeong Hoon Yang; Kyeongman Jeon; Chi Ryang Chung; Gee Young Suh // Korean Journal of Critical Care Medicine;May2014, Vol. 29 Issue 2, p83 

    Background: Extracorporeal life support (ECLS) is an effective life saving tool for patients in refractory cardiac or respiratory failure. Although transportation of patients on ECLS is challenging, it is necessary in some instances. We report our initial experience of transporting patients on...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics