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Extracorporeal Membrane Oxygenation for Severe Burn Injury: A Multidisciplinary Roundtable
Mohanapriya Cumaran1, Leopoldo Cancio2, Jonathan Schoen3
1Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Summary
Extracorporeal membrane oxygenation (ECMO) offers an alternative to mechanical ventilation for burn patients. More research is needed to establish clear guidelines for its use in this population.
Area of Science:
- Critical Care Medicine
- Burn Surgery
- Cardiopulmonary Support
Background:
- Extracorporeal membrane oxygenation (ECMO) is utilized to reduce or replace mechanical ventilation in various patient groups.
- Its application in burn injury patients requires further investigation due to limited reported cases.
Purpose of the Study:
- To discuss the current use, practices, and controversies of ECMO in burn patients.
- To identify research gaps and future directions for ECMO in burn care.
Main Methods:
- A panel of national experts in ECMO and burn injury convened.
- The discussion focused on current methods, institutional protocols, and clinical challenges.
Main Results:
- Significant variation exists in institutional capacity and protocols for ECMO in burn patients.
- A need for retrospective and prospective data was emphasized to guide ECMO use.
Conclusions:
- Further multicenter studies are essential to define optimal patient selection, timing, and perioperative management, including anticoagulation, for ECMO in burn patients.
Keywords:
acute respiratory distress syndrome (ARDS)anticoagulationburn injuryextracorporeal membrane oxygenation (ECMO)mechanical ventilationMore Related Videos
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