Monitoring of the Adult Patient on Venoarterial Extracorporeal Membrane Oxygenation

Mabel Chung; Ariel L. Shiloh; Anthony Carlese

doi:10.1155/2014/393258

The Scientific World Journal (Jan 2014)

Monitoring of the Adult Patient on Venoarterial Extracorporeal Membrane Oxygenation

Mabel Chung,
Ariel L. Shiloh,
Anthony Carlese

Affiliations

Mabel Chung: Division of Critical Care Medicine—The Jay B. Langner Critical Care Service, Department of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY 10467, USA
Ariel L. Shiloh: Division of Critical Care Medicine—The Jay B. Langner Critical Care Service, Department of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY 10467, USA
Anthony Carlese: Division of Critical Care Medicine—The Jay B. Langner Critical Care Service, Department of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY 10467, USA

DOI: https://doi.org/10.1155/2014/393258
Journal volume & issue: Vol. 2014

Abstract

Read online

Venoarterial extracorporeal membrane oxygenation (VA ECMO) provides mechanical support to the patient with cardiac or cardiopulmonary failure. This paper reviews the physiology of VA ECMO including the determinants of ECMO flow and gas exchange. The efficacy of this therapy may be determined by assessing patient hemodynamics and device flow, overall gas exchange support, markers of adequate oxygen delivery, and pulsatility of the arterial blood pressure waveform.

Published in The Scientific World Journal

ISSN: 2356-6140 (Print); 1537-744X (Online)
Publisher: Hindawi Limited
Country of publisher: United Kingdom
LCC subjects: Technology; Medicine; Science
Website: https://www.hindawi.com/journals/tswj/

About the journal