• Curr Opin Crit Care · Jun 2016

    Review

    Monitoring during extracorporeal membrane oxygenation.

    • Ghislaine Douflé and Niall D Ferguson.
    • aInterdepartmental Division of Critical Care Medicine, University of Toronto bExtracorporeal Life Support (ECLS) Program, Toronto General Hospital cDepartments of Medicine, Physiology, and Institute for Health Policy, Management and Evaluation, University of Toronto dToronto General Research Institute eDepartment of Medicine, Division of Respirology, University Health Network and Mount Sinai Hospital, Toronto, Ontario, Canada.
    • Curr Opin Crit Care. 2016 Jun 1; 22 (3): 230-8.

    Purpose Of ReviewAn increasing number of patients are placed on extracorporeal membrane oxygenation (ECMO) for respiratory or cardiac failure. Sound understanding of physiology and configuration of ECMO is essential for proper management. This review covers different monitoring parameters and tools for patients supported with different types of ECMO.Recent FindingsEmphasis is placed on monitoring saturations at different sites depending on type of ECMO support. The main monitoring tools detailed in this review are echocardiography and pulmonary artery catheters.SummaryThe review will help physicians better assess adequate ECMO support by using the appropriate parameters for each type of configuration.

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