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ECMO for Adults with Severe Respiratory Failure.
Jonathan Kozinn1, W Cole Wrisinger1
1Jonathan Kozinn, MD and W. Cole Wrisinger, DO, are in the Department of Anesthesiology, Saint Luke's Hospital, University of Missouri - Kansas City, Kansas City, Missouri.
Missouri Medicine
|March 14, 2019
Summary
Extracorporeal Life Support (ELS) technology has advanced significantly. Its application, particularly Extracorporeal Membrane Oxygenation (ECMO), is increasingly used for severe respiratory failure in adults.
Area of Science:
- Medical Technology
- Critical Care Medicine
Background:
- Extracorporeal Life Support (ELS) technology has been available for over 40 years.
- Recent years have seen a marked increase in ELS utilization.
- This rise is partly due to its use during the 2009 H1N1 influenza epidemic for severe Acute Respiratory Distress Syndrome (ARDS) in adults.
Purpose of the Study:
- To highlight the application and increasing acceptance of Extracorporeal Membrane Oxygenation (ECMO).
- To discuss the use of ECMO for treating severe respiratory failure in adult patients.
- To focus on the institutional experience with ECMO.
Main Methods:
- Review of ELS technology and its historical application.
- Analysis of trends in ECMO use for adult respiratory failure.
- Case study or descriptive analysis of institutional ECMO practices.
Main Results:
- ELS technology has a long-standing history.
- There has been a significant increase in ECMO use over the past decade.
- ECMO is increasingly accepted for treating severe respiratory failure in adults.
Conclusions:
- ECMO is a vital tool for managing severe respiratory failure in adults.
- The adoption of ECMO for respiratory support has grown considerably.
- Institutional experiences contribute to the understanding and advancement of ECMO therapy.
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