Journal article

Extracorporeal membrane modality conversions

ACF Chan-Dominy, M Anders, J Millar, S Horton, D Best, C Brizard, Y D'Udekem, A Hilton, W Butt

PERFUSION-UK | SAGE PUBLICATIONS LTD | Published : 2015

Abstract

We report the case of a patient with cardiovascular and respiratory failure due to severe anaphylaxis requiring multiple extracorporeal membrane oxygenation (ECMO) cannulation strategies to provide adequate oxygen delivery and ventilatory support during a period of rapid physiological change. ECMO provides partial or complete support of oxygenation-ventilation and circulation. The choice of which ECMO modality to use is governed by anatomical (vessel size, cardiovascular anatomy and previous surgeries) and physiological (respiratory and/or cardiac failure) factors. The urgency with which ECMO needs to be implemented (emergency cardiopulmonary resuscitation (eCPR), urgent, elective) and the i..

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