• R Giraud, N Siegenthaler, D Tassaux, J C M Richard, S Reverdin, M Cikirikcioglu, M J Licker, K Bendjelid, and L Brochard.
• Service des soins intensifs, HUG, Genève. Raphael.Giraud@hcuge.ch
• Rev Med Suisse. 2011 Dec 14;7(321):2444-51.

AbstractThe Extra corporeal membrane oxygenation (ECMO) was initially proposed as a technique of respiratory support using an external membrane oxygenator. With time, it has also become a technique of cardiorespiratory support to ensure both gas exchange and organ perfusion until the restoration of organs function. This technical assistance can be central or peripheral and provides a partial or total circulatory support. The circuit includes a non occlusive centrifugal pump, an oxygenator for an enrichment of O2 and elimination of CO2 and cannulas for drainage and re-injection. Recently, the establishment of such assistance became possible percutaneously, allowing it to be initiated at the intensive care bedside or even before in-hospital admission.

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