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Extracorporeal life support: present status and the future
1Department of Anesthesiology, Kumamoto University School of Medicine, Japan.
Annals of the Academy of Medicine, Singapore
|November 1, 1994
Summary
Extracorporeal life support (ECLS) offers a vital method for severe cardiopulmonary failure. This review covers ECLS history, methods, and its growing role in critical care.
Area of Science:
- Cardiology
- Pulmonology
- Biomedical Engineering
Background:
- Extracorporeal life support (ECLS) is a critical intervention for severe cardiopulmonary failure.
- It involves prolonged cardiopulmonary bypass using an artificial membrane lung.
Purpose of the Study:
- To provide a comprehensive overview of Extracorporeal life support (ECLS).
- To discuss its history, current status, and future potential.
Main Methods:
- Review of ECLS history, current global practices, and various methodologies.
- Discussion of heparin-bonded hollow-fibre lungs for enhanced safety.
- Presentation of clinical case studies illustrating ECLS efficacy.
Main Results:
- ECLS is a highly effective life support system for critical cardiopulmonary conditions.
- Heparin-bonded non-microporous membrane lungs are recommended to prevent complications.
- ECLS has successfully treated patients with severe barotrauma and myocardial infarction-induced cardiac standstill.
Conclusions:
- ECLS practice is expected to become simpler, safer, and more widespread.
- Ongoing research aims to expand ECLS applications, including novel oxygenators and artificial amnion fluid systems.
- ECLS represents a significant advancement in managing life-threatening cardiopulmonary emergencies.