Extracorporeal membrane oxygenation: a breakthrough for respiratory failure

Journal of Internal Medicine
Björn Frenckner

Abstract

Extracorporeal membrane oxygenation (ECMO) is a method for providing long-term treatment of a patient in a modified heart-lung machine. Desaturated blood is drained from the patient, oxygenated and pumped back to a major vein or artery. ECMO supports heart and lung function and may be used in severe heart and/or lung failure when conventional intensive care fails. The Stockholm programme started in 1987 with treatment of neonates. In 1995, the first adult patient was accepted onto the programme. Interhospital transportation during ECMO was started in 1996, which enabled retrieval of extremely unstable patients during ECMO. Today, the programme has an annual volume of about 80 patients. It has been characterized by, amongst other things, minimal patient sedation. By 31 December 2014, over 900 patients had been treated, the vast majority for respiratory failure, and over 650 patients had been transported during ECMO. The median ECMO duration was 5.3, 5.7 and 7.1 days for neonatal, paediatric and adult patients, respectively. The survival to hospital discharge rate for respiratory ECMO was 81%, 70% and 63% in the different age groups, respectively, which is significantly higher than the overall international experience as reported...Continue Reading

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Citations

Apr 1, 2017·International Journal of Environmental Research and Public Health·Genny RaffaeliFabio Mosca
Feb 18, 2018·Pediatric Surgery International·Elin ÖstMaria Öjmyr-Joelsson
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Dec 17, 2020·Journal of Biochemical and Molecular Toxicology·Ming GuYa-Nan Zhao
Dec 10, 2020·Case Reports in Pediatrics·Grégoire CaneAlexandre Ouattara

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