Extracorporeal Membrane Oxygenation

Extracorporeal Membrane Oxygenation
Extracorporeal Membrane Oxygenation

extracorporeal membrane oxygenation or ECMO is a way to support the heart and lungs of people who are seriously ill. its most common application is in pediatric settings but it can also be used for adults. ECMO was adapted from the heart-lung bypass machines by Dr. Robert Bartlett of the University of Michigan Hospital in 1970 and contrary to bypass it can be used for longer periods of time but circumstantial use is associated with greater complications.
two kinds of extracorporeal membrane oxygenation exist and these are called pulmonary arterial and pulmonary venous (VA and VV). va ECMO removes blood from a vein and returns it to an artery bypassing the heart. This provides support for the heart and lungs. vv ECMO removes blood from a vein and returns it to a vein and this tends to be used most when only the lungs are compromised. in both types of people can expect to see two catheters and needles attached to the body one to remove the blood and a return there.
use of extracorporeal membrane oxygenation can be encouraged in many circumstances. some of the reasons that can be used include severe compromise of the lungs waiting for heart / lung transplantation heart transplantation or heart surgery immaturity of the lungs meconium aspiration syndrome and pneumothorax. number of days a person can use the ECMO vary and may also depend on people tolerate treatment.
risk of ECMO include profuse bleeding or blood clots. heparin an anticoagulant must be used to ensure that the blood does not clot in the machine. this use particularly in very young children translates into an increased risk of bleeding in the brain. This is why although ECMO considered effective therapy it is also considered as a therapy last resort.
highly educated perfusionists closely supervise people on ECMO machines. Not all hospitals have these machines available because they can only be used when a perfusionist exist to serve them and make certain the patient is tolerating the treatment. ECMO treatment is most common in higher level facilities.
while extracorporeal membrane oxygenation can be viewed as a good thing that can increase survival with some conditions it is not always greeted with enthusiasm especially by parents newborns undergo it. ECMO treatment is hard on parents who may not be able to hold or breastfeed their children for many days. They can however touch stroke and talk to their newborns or young children and this is highly encouraged.

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