Clinical management of the extracorporeal membrane oxygenation circuit

Warwick Butt, Micheal Heard, Giles J. Peek

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

The clinical management of patients on extracorporeal membrane oxygenation should be standardized and follow clear guidelines or protocols. However, due to the diversity of cannulation strategies and the complex situations that extracorporeal membrane oxygenation is now used in, each extracorporeal membrane oxygenation program has developed its own clinical management strategies. These vary widely across the globe. Extracorporeal membrane oxygenation provides partial or complete support of ventilation and oxygenation, as well as univentricular or biventricular support of myocardial function, either individually or in combination. High-flow extracorporeal membrane oxygenation can also provide circulatory support in profound vasoplegic shock. Improvements in technology and greater understanding of disease pathophysiology, coupled to refinements in technology, which lessen the adverse interaction between the circuit and the patient, all contribute to fewer mechanical and patient complications on extracorporeal membrane oxygenation. Earlier and more appropriate use of extracorporeal membrane oxygenation has been associated with improved patient outcomes. These clinical management strategies are reviewed in this article, part of the Pediatric Cardiac Intensive Care Society/ Extracorporeal Life Support Organization Joint Statement on Mechanical Circulatory Support.

Original languageEnglish (US)
JournalPediatric Critical Care Medicine
Volume14
Issue number5 SUPPL
DOIs
StatePublished - Jun 2013
Externally publishedYes

Fingerprint

Extracorporeal Membrane Oxygenation
Technology
Catheterization
Ventilation
Shock
Guidelines

Keywords

  • Extracorporeal life support
  • Intensive care
  • Mechanical circulatory support
  • Pediatric

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Critical Care and Intensive Care Medicine

Cite this

Clinical management of the extracorporeal membrane oxygenation circuit. / Butt, Warwick; Heard, Micheal; Peek, Giles J.

In: Pediatric Critical Care Medicine, Vol. 14, No. 5 SUPPL, 06.2013.

Research output: Contribution to journalArticle

@article{f8f9b23443ff463fb2432ab23f29bd58,
title = "Clinical management of the extracorporeal membrane oxygenation circuit",
abstract = "The clinical management of patients on extracorporeal membrane oxygenation should be standardized and follow clear guidelines or protocols. However, due to the diversity of cannulation strategies and the complex situations that extracorporeal membrane oxygenation is now used in, each extracorporeal membrane oxygenation program has developed its own clinical management strategies. These vary widely across the globe. Extracorporeal membrane oxygenation provides partial or complete support of ventilation and oxygenation, as well as univentricular or biventricular support of myocardial function, either individually or in combination. High-flow extracorporeal membrane oxygenation can also provide circulatory support in profound vasoplegic shock. Improvements in technology and greater understanding of disease pathophysiology, coupled to refinements in technology, which lessen the adverse interaction between the circuit and the patient, all contribute to fewer mechanical and patient complications on extracorporeal membrane oxygenation. Earlier and more appropriate use of extracorporeal membrane oxygenation has been associated with improved patient outcomes. These clinical management strategies are reviewed in this article, part of the Pediatric Cardiac Intensive Care Society/ Extracorporeal Life Support Organization Joint Statement on Mechanical Circulatory Support.",
keywords = "Extracorporeal life support, Intensive care, Mechanical circulatory support, Pediatric",
author = "Warwick Butt and Micheal Heard and Peek, {Giles J.}",
year = "2013",
month = "6",
doi = "10.1097/PCC.0b013e318292ddc8",
language = "English (US)",
volume = "14",
journal = "Pediatric Critical Care Medicine",
issn = "1529-7535",
publisher = "Lippincott Williams and Wilkins",
number = "5 SUPPL",

}

TY - JOUR

T1 - Clinical management of the extracorporeal membrane oxygenation circuit

AU - Butt, Warwick

AU - Heard, Micheal

AU - Peek, Giles J.

PY - 2013/6

Y1 - 2013/6

N2 - The clinical management of patients on extracorporeal membrane oxygenation should be standardized and follow clear guidelines or protocols. However, due to the diversity of cannulation strategies and the complex situations that extracorporeal membrane oxygenation is now used in, each extracorporeal membrane oxygenation program has developed its own clinical management strategies. These vary widely across the globe. Extracorporeal membrane oxygenation provides partial or complete support of ventilation and oxygenation, as well as univentricular or biventricular support of myocardial function, either individually or in combination. High-flow extracorporeal membrane oxygenation can also provide circulatory support in profound vasoplegic shock. Improvements in technology and greater understanding of disease pathophysiology, coupled to refinements in technology, which lessen the adverse interaction between the circuit and the patient, all contribute to fewer mechanical and patient complications on extracorporeal membrane oxygenation. Earlier and more appropriate use of extracorporeal membrane oxygenation has been associated with improved patient outcomes. These clinical management strategies are reviewed in this article, part of the Pediatric Cardiac Intensive Care Society/ Extracorporeal Life Support Organization Joint Statement on Mechanical Circulatory Support.

AB - The clinical management of patients on extracorporeal membrane oxygenation should be standardized and follow clear guidelines or protocols. However, due to the diversity of cannulation strategies and the complex situations that extracorporeal membrane oxygenation is now used in, each extracorporeal membrane oxygenation program has developed its own clinical management strategies. These vary widely across the globe. Extracorporeal membrane oxygenation provides partial or complete support of ventilation and oxygenation, as well as univentricular or biventricular support of myocardial function, either individually or in combination. High-flow extracorporeal membrane oxygenation can also provide circulatory support in profound vasoplegic shock. Improvements in technology and greater understanding of disease pathophysiology, coupled to refinements in technology, which lessen the adverse interaction between the circuit and the patient, all contribute to fewer mechanical and patient complications on extracorporeal membrane oxygenation. Earlier and more appropriate use of extracorporeal membrane oxygenation has been associated with improved patient outcomes. These clinical management strategies are reviewed in this article, part of the Pediatric Cardiac Intensive Care Society/ Extracorporeal Life Support Organization Joint Statement on Mechanical Circulatory Support.

KW - Extracorporeal life support

KW - Intensive care

KW - Mechanical circulatory support

KW - Pediatric

UR - http://www.scopus.com/inward/record.url?scp=84880073130&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84880073130&partnerID=8YFLogxK

U2 - 10.1097/PCC.0b013e318292ddc8

DO - 10.1097/PCC.0b013e318292ddc8

M3 - Article

VL - 14

JO - Pediatric Critical Care Medicine

JF - Pediatric Critical Care Medicine

SN - 1529-7535

IS - 5 SUPPL

ER -