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Related Experiment Videos

Extracorporeal membrane oxygenation -- new developments.

M Strüber1, A Haverich

  • 1Division of Thoracic and Cardiovascular Surgery, Hannover Medical School, Germany.

The Thoracic and Cardiovascular Surgeon
|April 28, 1999
PubMed
Summary
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Extracorporeal membrane oxygenation (ECMO) has advanced significantly, becoming safer and less invasive. New strategies and device improvements enhance its efficacy and safety for treating cardiopulmonary failure.

Area of Science:

  • Cardiovascular Sciences
  • Respiratory Medicine
  • Biomedical Engineering

Background:

  • Extracorporeal membrane oxygenation (ECMO) has been a clinical tool for over a decade for pulmonary and cardiopulmonary failure.
  • Early intravascular devices lacked efficiency and clinical acceptance.
  • Progress in extracorporeal devices has focused on biocompatibility, including less traumatizing oxygenators and pumps, and heparin coating.

Purpose of the Study:

  • To review the advancements in ECMO technology and treatment strategies.
  • To highlight improvements in safety, invasiveness, and efficacy.
  • To discuss the role of new therapies as cotherapy with ECMO.

Main Methods:

  • Review of clinical applications and technological developments in ECMO.

Related Experiment Videos

  • Analysis of improvements in device design, including oxygenators, pumps, and circuit coatings.
  • Examination of evolving cannulation techniques and adjunctive therapies.

    • Main Results:

    • ECMO devices have become safer and less invasive through technical improvements.
    • Transcutaneous cannulation techniques have reduced invasiveness.
    • New ventilator strategies and pharmacological cotherapies are emerging.

    Conclusions:

    • ECMO technology has evolved significantly, enhancing safety and reducing invasiveness.
    • Adjunctive therapies and technical advancements improve ECMO efficacy and safety.
    • Pharmacological cotherapy is expected to broaden ECMO's inclusion criteria and improve outcomes.