• Emerg. Med. Clin. North Am. · Nov 2020

    Review

    Extracorporeal Membrane Oxygenation in the Emergency Department.

    • Jenelle H Badulak and Zachary Shinar.
    • Division of Pulmonary, Critical Care and Sleep Medicine, Department of Emergency Medicine, University of Washington, Harborview Medical Center, Box 359702, 325 Ninth Avenue, Seattle, WA 98104-2499, USA. Electronic address: badulakj@uw.edu.
    • Emerg. Med. Clin. North Am. 2020 Nov 1; 38 (4): 945-959.

    AbstractExtracorporeal membrane oxygenation (ECMO) is a mechanical way to provide oxygenation, ventilation, and perfusion to patients with severe cardiopulmonary failure. Extracorporeal cardiopulmonary resuscitation (ECPR) describes the use of ECMO during cardiac arrest. ECPR requires an organized approach to resuscitation, cannula insertion, and pump initiation. Selecting the right patients for ECPR is an important aspect of successful programs. A solid understanding of the components of the ECMO circuit is critical to troubleshooting problems. Current evidence suggests a substantial benefit of ECPR compared with traditional CPR for refractory cardiac arrest but is limited by lack of randomized trials to date.Copyright © 2020 Elsevier Inc. All rights reserved.

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