• David Zonies and Matthias Merkel.
• aDepartment of Surgery, Oregon Health & Science UniversitybDepartment of Anesthesiology & Perioperative Medicine, OHSU Knight Cardiovascular Institute, Oregon Health & Science University, Oregon, USA.
• Curr Opin Crit Care. 2016 Dec 1; 22 (6): 578-583.

Purpose Of ReviewThe purpose is to review the current application of extracorporeal life support (ECLS) in trauma patients. In addition, programmatic development is described.Recent FindingsECLS use is increasing among trauma patients. Several recent studies among trauma patients report survival rates of 65-79%. Despite the high bleeding risk, extracorporeal membrane oxygenation (ECMO) may be safely implemented in trauma patients based on a strict protocol-driven policy. Early implementation may improve overall outcomes. Alternative anticoagulants and heparin free periods may be well tolerated in trauma patients at high risk of hemorrhage.SummaryECMO is becoming a more routine option in severely injured trauma patients that develop severe respiratory failure. Well tolerated implementation and program development is possible among regional trauma centers. Although clinical knowledge gaps exist, ECMO is a promising treatment in this high-risk population.

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