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[Surgical interventions in extracorporeal membrane oxygenation (ECMO)]
1Chirurgische Klinik und Poliklinik, Ludwig-Maximilians-Universität München.
Langenbecks Archiv Fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft Fur Chirurgie. Kongress
|January 1, 1997
Summary
Extracorporeal membrane oxygenation (ECMO) effectively treats respiratory failure but can cause pulmonary complications like hemorrhage and lung fistula. Thoracic interventions during ECMO are reserved for select cases due to high morbidity.
Area of Science:
- Cardiovascular and Respiratory Medicine
- Thoracic Surgery
- Critical Care Medicine
Background:
- Extracorporeal membrane oxygenation (ECMO) is a vital short-term therapy for refractory respiratory failure.
- ECMO is associated with a significant incidence of pulmonary complications requiring intervention.
- Hemorrhage and lung fistula are common ECMO-related pulmonary issues resistant to standard treatments.
Purpose of the Study:
- To review the role and indications of thoracic interventions during ECMO therapy.
- To analyze the frequency and management of pulmonary complications in patients undergoing ECMO.
- To assess the morbidity associated with operative lung resection in ECMO patients.
Main Methods:
- Retrospective analysis of patients treated with ECMO.
- Review of thoracic interventions performed during ECMO support.
- Evaluation of complication rates and outcomes following surgical procedures.
Main Results:
- ECMO offers a 32% mortality rate for respiratory failure.
- Pulmonary complications, particularly hemorrhage and lung fistula, frequently necessitate thoracic interventions.
- Operative lung resection during ECMO is linked to high morbidity.
Conclusions:
- Thoracic interventions are sometimes required for managing ECMO-induced pulmonary complications.
- Surgical lung resection during ECMO should be limited to carefully selected patients.
- Careful patient selection is crucial to mitigate the risks of operative procedures during ECMO.