Venovenous Extracorporeal Membrane Oxygenation in Intractable Pulmonary Insufficiency: Practical Issues and Future Directions

Venovenous Extracorporeal Membrane Oxygenation in Intractable Pulmonary Insufficiency: Practical Issues and Future Directions

Venovenous extracorporeal membrane oxygenation (vv-ECMO) is a highly invasive method for organ support that is gaining in popularity due to recent technical advances and its successful application in the recent H1N1 epidemic. Although running a vv-ECMO program is potentially feasible for many hospit...

Full description

Bibliographic Details
Main Authors: T. S. R. Delnoij, R. Driessen, A. S. Sharma, E. A. Bouman, U. Strauch, P. M. Roekaerts
Format: Article
Language:English
Published: Hindawi Limited 2016-01-01
Series:BioMed Research International
Online Access:http://dx.doi.org/10.1155/2016/9367464
id doaj-06d7a485e6a446b9997d982471b68cd9
record_format Article
spelling doaj-06d7a485e6a446b9997d982471b68cd92020-11-24T23:22:56ZengHindawi LimitedBioMed Research International2314-61332314-61412016-01-01201610.1155/2016/93674649367464Venovenous Extracorporeal Membrane Oxygenation in Intractable Pulmonary Insufficiency: Practical Issues and Future DirectionsT. S. R. Delnoij0R. Driessen1A. S. Sharma2E. A. Bouman3U. Strauch4P. M. Roekaerts5Department of Cardiology, Maastricht University Medical Center, 6202 AZ Maastricht, NetherlandsDepartment of Cardiology, Maastricht University Medical Center, 6202 AZ Maastricht, NetherlandsDepartment of Cardiothoracic Surgery, Maastricht University Medical Center, 6202 AZ Maastricht, NetherlandsDepartment of Anesthesiology, Maastricht University Medical Center, 6202 AZ Maastricht, NetherlandsDepartment of Intensive Care, Maastricht University Medical Center, 6202 AZ Maastricht, NetherlandsDepartment of Intensive Care, Maastricht University Medical Center, 6202 AZ Maastricht, NetherlandsVenovenous extracorporeal membrane oxygenation (vv-ECMO) is a highly invasive method for organ support that is gaining in popularity due to recent technical advances and its successful application in the recent H1N1 epidemic. Although running a vv-ECMO program is potentially feasible for many hospitals, there are many theoretical concepts and practical issues that merit attention and require expertise. In this review, we focus on indications for vv-ECMO, components of the circuit, and management of patients on vv-ECMO. Concepts regarding oxygenation and decarboxylation and how they can be influenced are discussed. Day-to-day management, weaning, and most frequent complications are covered in light of the recent literature.http://dx.doi.org/10.1155/2016/9367464
collection DOAJ
language English
format Article
sources DOAJ
author T. S. R. Delnoij
R. Driessen
A. S. Sharma
E. A. Bouman
U. Strauch
P. M. Roekaerts
spellingShingle T. S. R. Delnoij
R. Driessen
A. S. Sharma
E. A. Bouman
U. Strauch
P. M. Roekaerts
Venovenous Extracorporeal Membrane Oxygenation in Intractable Pulmonary Insufficiency: Practical Issues and Future Directions
BioMed Research International
author_facet T. S. R. Delnoij
R. Driessen
A. S. Sharma
E. A. Bouman
U. Strauch
P. M. Roekaerts
author_sort T. S. R. Delnoij
title Venovenous Extracorporeal Membrane Oxygenation in Intractable Pulmonary Insufficiency: Practical Issues and Future Directions
title_short Venovenous Extracorporeal Membrane Oxygenation in Intractable Pulmonary Insufficiency: Practical Issues and Future Directions
title_full Venovenous Extracorporeal Membrane Oxygenation in Intractable Pulmonary Insufficiency: Practical Issues and Future Directions
title_fullStr Venovenous Extracorporeal Membrane Oxygenation in Intractable Pulmonary Insufficiency: Practical Issues and Future Directions
title_full_unstemmed Venovenous Extracorporeal Membrane Oxygenation in Intractable Pulmonary Insufficiency: Practical Issues and Future Directions
title_sort venovenous extracorporeal membrane oxygenation in intractable pulmonary insufficiency: practical issues and future directions
publisher Hindawi Limited
series BioMed Research International
issn 2314-6133
2314-6141
publishDate 2016-01-01
description Venovenous extracorporeal membrane oxygenation (vv-ECMO) is a highly invasive method for organ support that is gaining in popularity due to recent technical advances and its successful application in the recent H1N1 epidemic. Although running a vv-ECMO program is potentially feasible for many hospitals, there are many theoretical concepts and practical issues that merit attention and require expertise. In this review, we focus on indications for vv-ECMO, components of the circuit, and management of patients on vv-ECMO. Concepts regarding oxygenation and decarboxylation and how they can be influenced are discussed. Day-to-day management, weaning, and most frequent complications are covered in light of the recent literature.
url http://dx.doi.org/10.1155/2016/9367464
work_keys_str_mv AT tsrdelnoij venovenousextracorporealmembraneoxygenationinintractablepulmonaryinsufficiencypracticalissuesandfuturedirections
AT rdriessen venovenousextracorporealmembraneoxygenationinintractablepulmonaryinsufficiencypracticalissuesandfuturedirections
AT assharma venovenousextracorporealmembraneoxygenationinintractablepulmonaryinsufficiencypracticalissuesandfuturedirections
AT eabouman venovenousextracorporealmembraneoxygenationinintractablepulmonaryinsufficiencypracticalissuesandfuturedirections
AT ustrauch venovenousextracorporealmembraneoxygenationinintractablepulmonaryinsufficiencypracticalissuesandfuturedirections
AT pmroekaerts venovenousextracorporealmembraneoxygenationinintractablepulmonaryinsufficiencypracticalissuesandfuturedirections
_version_ 1725566157465845760

Similar Items