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Venovenous Extracorporeal Membrane Oxygenation Therapy in Adults
Extracorporeal membrane oxygenation (ECMO) therapy is used as supportive therapy for patients with respiratory failure, cardiac failure, and cardiopulmonary failure. Venovenous extracorporeal membrane oxygenation (VV-ECMO) is one subtype used for respiratory failure as a supportive treatment for cri...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6692097/ https://www.ncbi.nlm.nih.gov/pubmed/31423406 http://dx.doi.org/10.7759/cureus.5365 |
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author | Patel, Avani R Patel, Amar R Singh, Shivank Singh, Shantanu Munn, Nancy J |
author_facet | Patel, Avani R Patel, Amar R Singh, Shivank Singh, Shantanu Munn, Nancy J |
author_sort | Patel, Avani R |
collection | PubMed |
description | Extracorporeal membrane oxygenation (ECMO) therapy is used as supportive therapy for patients with respiratory failure, cardiac failure, and cardiopulmonary failure. Venovenous extracorporeal membrane oxygenation (VV-ECMO) is one subtype used for respiratory failure as a supportive treatment for critically ill patients. The principle behind it is that the membrane lung (oxygenator) is placed sequentially with the normal lungs rather than in parallel like with cardiopulmonary bypass, therefore, the lungs do not have to work as hard to oxygenate the blood. Then using a drainage cannula, blood is drained from the right atrium (RA) and after going through the membrane lung, the newly oxygenated blood is returned back to the RA. Because of this, there is enough systemic oxygen delivery to manage metabolism and preserve the airway even at lower tidal volume ventilation settings. With ventilator settings placed at lower tidal volume, there is less risk of barotrauma. This is a review article discussing VV-ECMO therapy with adult patients. It will also go into detail regarding its indications, contraindications, configurations, patient assessment, vascular access, and complications. |
format | Online Article Text |
id | pubmed-6692097 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-66920972019-08-18 Venovenous Extracorporeal Membrane Oxygenation Therapy in Adults Patel, Avani R Patel, Amar R Singh, Shivank Singh, Shantanu Munn, Nancy J Cureus Internal Medicine Extracorporeal membrane oxygenation (ECMO) therapy is used as supportive therapy for patients with respiratory failure, cardiac failure, and cardiopulmonary failure. Venovenous extracorporeal membrane oxygenation (VV-ECMO) is one subtype used for respiratory failure as a supportive treatment for critically ill patients. The principle behind it is that the membrane lung (oxygenator) is placed sequentially with the normal lungs rather than in parallel like with cardiopulmonary bypass, therefore, the lungs do not have to work as hard to oxygenate the blood. Then using a drainage cannula, blood is drained from the right atrium (RA) and after going through the membrane lung, the newly oxygenated blood is returned back to the RA. Because of this, there is enough systemic oxygen delivery to manage metabolism and preserve the airway even at lower tidal volume ventilation settings. With ventilator settings placed at lower tidal volume, there is less risk of barotrauma. This is a review article discussing VV-ECMO therapy with adult patients. It will also go into detail regarding its indications, contraindications, configurations, patient assessment, vascular access, and complications. Cureus 2019-08-11 /pmc/articles/PMC6692097/ /pubmed/31423406 http://dx.doi.org/10.7759/cureus.5365 Text en Copyright © 2019, Patel et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Internal Medicine Patel, Avani R Patel, Amar R Singh, Shivank Singh, Shantanu Munn, Nancy J Venovenous Extracorporeal Membrane Oxygenation Therapy in Adults |
title | Venovenous Extracorporeal Membrane Oxygenation Therapy in Adults |
title_full | Venovenous Extracorporeal Membrane Oxygenation Therapy in Adults |
title_fullStr | Venovenous Extracorporeal Membrane Oxygenation Therapy in Adults |
title_full_unstemmed | Venovenous Extracorporeal Membrane Oxygenation Therapy in Adults |
title_short | Venovenous Extracorporeal Membrane Oxygenation Therapy in Adults |
title_sort | venovenous extracorporeal membrane oxygenation therapy in adults |
topic | Internal Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6692097/ https://www.ncbi.nlm.nih.gov/pubmed/31423406 http://dx.doi.org/10.7759/cureus.5365 |
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