Extracorporeal Membrane Oxygenation Management: Techniques to Liberate from Extracorporeal Membrane Oxygenation and Manage Post–Intensive Care Unit Issues

Joseph B. Zwischenberger, Harrison T. Pitcher

Research output: Contribution to journalReview articlepeer-review

27 Scopus citations

Abstract

Extracorporeal membrane oxygenation (ECMO) is a life-saving technique when patients require pulmonary and/or cardiac support for days to weeks for recovery, bridge to decision, or transplantation. Due to complications associated with ECMO, it is best to stay on ECMO as little time as necessary. Foremost is weaning from ECMO, but the post-ECMO period recapitulates the entire field of critical care. Identified issues include (1) potential for systemic inflammatory response syndrome post-decannulation; (2) post-ECMO complications, such as deep vein thrombosis, wounds, renal failure, and stroke; (3) delirium; (4) posttraumatic stress disorder; (5) rehabilitation; and (6) end of life.

Original languageEnglish
Pages (from-to)843-853
Number of pages11
JournalCritical Care Clinics
Volume33
Issue number4
DOIs
StatePublished - Oct 2017

Bibliographical note

Publisher Copyright:
© 2017 Elsevier Inc.

Keywords

  • Complications
  • Decannulation
  • Palliative
  • Rehabilitation
  • Weaning

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

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