RT Book, Section
A1 Farcy, David A.
A1 Heffner, Alan C.
A1 Napolitano, Lena M.
A2 Farcy, David A.
A2 Chiu, William C.
A2 Marshall, John P.
A2 Osborn, Tiffany M.
SR Print(0)
ID 1135700109
T1 Extracorporeal Cardiopulmonary Membrane Oxygenation
T2 Critical Care Emergency Medicine, 2e
YR 2016
FD 2016
PB McGraw-Hill Education
PP New York, NY
SN 9780071838764
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1135700109
RD 2024/04/19
AB Despite  advances  in  critical  care,  severe  pulmonary  and  cardiac  failure  continue  to  be  associated  with  high  mortality.  Out-of-hospital  cardiac  arrest  and  acute  respiratory  distress  syndrome  (ARDS)  continue  to  have  a  high  mortality  rate,  as  high  as  30%  to  40%,  50%  for  patients  with  cardiogenic  shock.1  Patients  failing  conventional  and  advanced  and  supportive  measures  have  few  rescue  therapy  options.  In  the  late  1960s,  prolonged  cardiopulmonary  bypass  support  was  used  to  provide  extended  circulatory  support  and  gas  exchange.  Out  of  that  work  was  born  extracorporeal  cardiopulmonary  membrane  oxygenation  (ECMO),  which  has  been  widely  used  in  the  neonatal  population  for  conditions  such  as  pulmonary  hypertension  and  meconium  aspiration  syndrome  with  a  high  rate  of  success.  However,  in  the  adult  population,  this  level  of  success  did  not  hold  true  until  recently.