• Emerg. Med. Clin. North Am. · Feb 2023

    Review

    Extracorporeal Life Support for Trauma.

    • Joseph Hamera and Ashley Menne.
    • Department of Emergency Medicine, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, 22 South Greene Street, Baltimore MD 21201, USA. Electronic address: jhamera@gmail.com.
    • Emerg. Med. Clin. North Am. 2023 Feb 1; 41 (1): 8910089-100.

    AbstractThe utilization of extracorporeal membrane oxygenation (ECMO) in trauma mirrors wider trends toward increased utilization of ECMO throughout various forms of critical illness. ECMO can safely be performed on trauma patients with or without anticoagulation. Most of the trauma ECMO cases are for the management of post-traumatic respiratory failure, but they can be used for certain cases of circulatory failure as well. Cannulation of patients for ECMO is technically feasible in the hands of surgeons and intensivists involved in the care of trauma patients. A sound understanding of the ECMO circuit components can help troubleshoot system malfunctions. Emerging technologies may combine extracorporeal circulatory support with endovascular hemorrhage control to prolong the viable survival of exsanguinating patients.Copyright © 2022 Elsevier Inc. All rights reserved.

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