Journal of Pediatric Critical Care (Jan 2017)
Common problems and troubleshooting on ECMO run
Abstract
The technological advances in ECMO have changed to enhance safety, accessibility and facilitate its use, contributing to decreased morbidity and improved survival of patients requiring ECMO support. Major advances in ECMO deployment paralleled advances in conventional CPB including cannulas, pumps, oxygenator bubble detectors and heparin bonded circuits which decrease platelet activation, circuit clotting and prolong the circuit life. It is likely that further such advances will diminish complication rates, facilitate more widespread adoption of the technology in middle- and high-income countries, and improve outcomes from refractory heart, lung, and multiorgan failure.
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