title: Extracorporeal membrane oxygenation--an anaesthesiologist's perspective--Part II: clinical and technical consideration.
abstract: Although the concept of extracorporeal membrane oxygenation (ECMO) has remained unchanged, component technology has evolved considerably over the past three decades. Presently the clinical conditions requiring ECMO support have been updated with input from the outcome data of patient registries. Modern circuit configuration has become less cumbersome, safer, and more efficient. Technological advances now allow prolonged support with fewer complications compared to the past eras and facilitate transition to a single bedside caregiver model, similar to hemofiltration or ventricular-assist devices. The clinical considerations and indicators for placing the patient on ECMO, the various circuit configurations, clinical and technical issues, and management aspects are considered in this article.
authors.affiliation: Department of Cardiac Anaesthesia, C.N.C, All India Institute of Medical Sciences, New Delhi, India. sdeep61@yahoo.com
authors.forename: Sandeep
authors.initials: S
authors.lastname: Chauhan
authors.forename: S
authors.initials: S
authors.lastname: Subin
mesh_terms: D000328:Adult; D000776:Anesthesiology; D006348:Cardiac Surgical Procedures; D016887:Cardiopulmonary Resuscitation; D002404:Catheterization; D002648:Child; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D006440:Hemofiltration; D006801:Humans; D007231:Infant, Newborn; D008991:Monitoring, Physiologic