Veno-venous extracorporeal membrane oxygenation in obese surgical patients with hypercapnic lung failure

2014 ◽  
Vol 58 (5) ◽  
pp. 534-538 ◽  
Author(s):  
J. SWOL ◽  
D. BUCHWALD ◽  
M. DUDDA ◽  
J. STRAUCH ◽  
T. A. SCHILDHAUER
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Surgical Patients ◽  
Membrane Oxygenation ◽  
Lung Failure

The physiology of extracorporeal membrane oxygenation: The Fick principle

Perfusion ◽  
2021 ◽  
pp. 026765912110559
Author(s):  
Hoong Lim
Keyword(s):  
Blood Flow ◽  
Extracorporeal Membrane Oxygenation ◽  
Arterial Oxygen Saturation ◽  
Arterial Oxygen ◽  
Fick Principle ◽  
Membrane Oxygenation ◽  
Lung Failure ◽  
Va Ecmo ◽  
The Relationship ◽  
Vv Ecmo

Extracorporeal membrane oxygenation (ECMO) can be delivered in veno-arterial (VA) and veno-venous (VV) configurations based on the cannulation strategy. VA and VV ECMO are delivered primarily for haemodynamic and respiratory support in patients with severe heart and lung failure, respectively. The Fick principle describes the relationship between blood flow and oxygen consumption – key parameters in the physiological management of extracorporeal support. This review will discuss the application of the Fick principle in: (i) recirculation in VV ECMO; (ii) the quantification of oxygen delivery (DO2) in VV ECMO and (iii) the quantification of transpulmonary blood flow and systemic arterial oxygen saturation in VA ECMO.

Ambulatory Extracorporeal Membrane Oxygenation: Times Are Changing

2021 ◽  
Vol 32 (4) ◽  
pp. 434-442
Author(s):  
Cristina A. Wojack ◽  
Ashleigh G. VanBlarcom ◽  
Jesus Casida
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Registered Nurses ◽  
Patient Treatment ◽  
Past Century ◽  
Advanced Practice ◽  
Membrane Oxygenation ◽  
Life Saving ◽  
Advanced Practice Registered Nurses ◽  
Lung Failure ◽  
Improve Patient

During the past century, medical technology has evolved to enhance quality and quantity of life. Medications, surgeries, and implantable devices have been developed and enhanced to reduce complications and improve patient outcomes. The use of extracorporeal membrane oxygenation is one of the most substantial advances in life-saving modalities. Extracorporeal membrane oxygenation has been widely used for patients with heart or lung failure across the lifespan. Expansion and simplifications of extracorporeal membrane oxygenation circuit designs have informed changes in patient treatment (from bed confinement to ambulatory) and shifted many clinical staffing structures (from cardiovascular perfusionist to nurse-managed care). Highly skilled registered nurses and advanced practice registered nurses are increasingly involved in managing extracorporeal membrane oxygenation in the critical care setting. The purpose of this article is to highlight the technological evolution of extracorporeal membrane oxygenation and the corresponding patient care that bedside registered nurses and advanced practice registered nurses provide.

Long-Term Survival in Adult Patients With Severe Acute Lung Failure Receiving Veno-Venous Extracorporeal Membrane Oxygenation

2017 ◽  
Vol 45 (10) ◽  
pp. 1718-1725 ◽  
Author(s):  
Tone Bull Enger ◽  
Alois Philipp ◽  
Matthias Lubnow ◽  
Marcus Fischer ◽  
Daniele Camboni ◽  
...  
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Adult Patients ◽  
Term Survival ◽  
Long Term Survival ◽  
Membrane Oxygenation ◽  
Acute Lung Failure ◽  
Lung Failure

scholarly journals Recommendations for extracorporeal membrane oxygenation (ECMO) in COVID-19 patients

2020 ◽  
Vol 132 (21-22) ◽  
pp. 671-676 ◽  
Author(s):  
Dominik Wiedemann ◽  
◽  
Martin H. Bernardi ◽  
Klaus Distelmaier ◽  
Georg Goliasch ◽  
...  
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Therapeutic Option ◽  
Working Environment ◽  
Healthcare Personnel ◽  
Healthcare Facilities ◽  
Safe Patient Care ◽  
Membrane Oxygenation ◽  
Lung Failure ◽  
Medical University ◽  
Safe Working

SummaryThe pandemic from the SARS-CoV‑2 virus is currently challenging healthcare systems all over the world. Maintaining appropriate staffing and resources in healthcare facilities is essential to guarantee a safe working environment for healthcare personnel and safe patient care. Extracorporeal membrane oxygenation (ECMO) represents a valuable therapeutic option in patients with severe heart or lung failure. Although only a limited proportion of COVID-19 patients develop respiratory or circulatory failure that is refractory to conventional treatment, it is of utmost importance to clearly define criteria for the use of ECMO in this steadily growing patient population. The ECMO working group of the Medical University of Vienna has established the following recommendations for ECMO support in COVID-19 patients.

Perioperative Management of Adult Surgical Patients on Extracorporeal Membrane Oxygenation Support

2013 ◽  
Vol 27 (2) ◽  
pp. 329-344 ◽  
Author(s):  
Patrick N. Odonkor ◽  
Lynn Stansbury ◽  
Jose P. Garcia ◽  
Peter Rock ◽  
Seema P. Deshpande ◽  
...  
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Perioperative Management ◽  
Surgical Patients ◽  
Membrane Oxygenation
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