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ECMO (extracorporeal membrane oxygenation) is a complex system, similar to the heart-lung bypass machine used in open heart surgery. When a patient is connected to ECMO, blood flows through tubing to an artificial lung in the machine, which adds oxygen and takes out carbon dioxide. Thereafter, the blood is warmed as per the body temperature and pumped back in the body.
ECMO Therapy is a high end rescue therapy for patients suffering from heart and lung failure but are neurologically intact. The technology provides support during high-risk procedures in the cardiac catheterization lab after a serious heart attack. It acts as a bridge for patients awaiting lung transplant. The ECMO helps keep the tissues well oxygenated, thereby making the candidate suitable for a transplant. When a patient is connected to ECMO, blood flows by tubing an artificial lung in the machine, which adds oxygen and takes out carbon dioxide.
How Can ECMO Treatment Help in Recovery?
When is Extracorporeal Membrane Oxygenation Treatment used?
There are two types of Extra Corporeal Membrane (ECMO)
- VA ECMO is connected both to a vein and an artery and is used when there are problems with both heart and lungs.
- The VV-ECMO is connected to one or more veins, usually near the heart, and is used when the problem is only in the lungs. This machine is primarily used for:
- Patients recovering from heart failure, or lung failure or heart surgery.
- As a bridge option to further treatment, i.e. when doctors want to assess the state of other organs such as the kidneys or brain before performing heart or lung surgery.
- Providing support during high-risk procedures in the cardiac catheterization lab after massive heart attack.
- As a bridge to a heart assist device, such as left ventricular assist device (LVAD).
- As a bridge for patients awaiting lung transplant. The ECMO treatment helps keep tissues well oxygenated, which makes the patient a better candidate for transplant.
- Severe lung failure following Swine Flu infection (H1N1).
- Severe lung failure following Dengue fever.
Who is Right Candidates for ECMO Treatment?
- Acute Respiratory Distress Syndrome (ARDS) secondary to pneumonia, aspiration, severe air leak
- Refractory Septic / Cardiogenic Shock
- Myocarditis - Viral, scorpion sting
- Post Arrest shock
- Meconium Aspiration
- Congenital Diaphragmatic Hernia
- Persistent Pulmonary Hypertension
- Poisoning