The role of extracorporeal membrane oxygenation circulatory support in the 'crash and burn' patient: from implantation to weaning.
OBJECTIVE
In advanced cardiogenic shock, early mechanical circulatory support may prevent multiorgan failure and death. In this article, we are describing our experience with extracorporeal membrane oxygenation (ECMO) application.


RESULTS
Venoarterial ECMO has been used successfully as a therapeutic option for patients with advanced cardiogenic shock and cardiac arrest.


CONCLUSIONS
In this review, based on the daily routine of the Hershey group using ECMO for therapy of advanced cardiogenic shock, the application of ECMO is described. The aim is to share our hands-on experience during emergent implantation and to contribute to the knowledge within the field of mechanical circulatory support.
aDepartment of Surgery bDepartment of Medicine, Heart and Vascular Institute, Penn State Milton S. Hershey Medical Center, Penn State College of Medicine, Hershey, Pennsylvania, USA.
Ali
A
Ghodsizad
Michael M
MM
Koerner
Christoph E
CE
Brehm
Aly
A
El-Banayosy
D001243:Assisted Circulation / Q000379:methods; D000075202:Contraindications; D015199:Extracorporeal Membrane Oxygenation / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D006439:Hemodynamics; D006801:Humans; D009102:Multiple Organ Failure / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control; D017063:Outcome Assessment, Health Care; D011183:Postoperative Complications / Q000145:classification*; D012770:Shock, Cardiogenic / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D015599:Trauma Severity Indices