Extracorporeal Membrane Oxygenation in the Emergency Department - 24/09/20

Doi : 10.1016/j.emc.2020.06.015

Jenelle H. Badulak, MD ^a,^⁎ , Zachary Shinar, MD ^b
^a Division of Pulmonary, Critical Care and Sleep Medicine, Department of Emergency Medicine, University of Washington, Harborview Medical Center, Box 359702, 325 Ninth Avenue, Seattle, WA 98104-2499, USA
^b Department of Emergency Medicine, Sharp Memorial Hospital, 7901 Frost Street, San Diego, CA 92130, USA

^∗Corresponding author.

Résumé

Extracorporeal membrane oxygenation (ECMO) is a mechanical way to provide oxygenation, ventilation, and perfusion to patients with severe cardiopulmonary failure. Extracorporeal cardiopulmonary resuscitation (ECPR) describes the use of ECMO during cardiac arrest. ECPR requires an organized approach to resuscitation, cannula insertion, and pump initiation. Selecting the right patients for ECPR is an important aspect of successful programs. A solid understanding of the components of the ECMO circuit is critical to troubleshooting problems. Current evidence suggests a substantial benefit of ECPR compared with traditional CPR for refractory cardiac arrest but is limited by lack of randomized trials to date.

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Keywords : Extracorporeal membrane oxygenation, ECMO, Extracorporeal life support, ECLS, Extracorporeal cardiopulmonary resuscitation, ECPR, VA ECMO