Clinical Applications of Extracorporeal Membranous Oxygenation: A Mini-Review.
The clinical usage of extracorporeal membranous oxygenation began more than 40 years ago. Although the indications for its use have expanded over the years, it has been challenging to conduct randomized controlled trials to prove that extracorporeal membranous oxygenation is more effective than traditional approaches. Through a review of retrospective reports and data from registries, we attempted to evaluate the appropriateness of its application for acute respiratory distress syndrome, cardiopulmonary resuscitation, postcardiotomy cardiogenic shock, and sepsis. Our investigation revealed that using extracorporeal membranous oxygenation when readily available is appropriate for all patients with cardiopulmonary resuscitation or postcardiotomy cardiogenic shock, and for selected patients with acute respiratory distress syndrome or sepsis.


BACKGROUND
Acute respiratory distress syndrome; Cardiopulmonary resuscitation; Extracorporeal membranous oxygenation; Postcardiotomy cardiogenic shock; Sepsis.
Department of Cardiovascular Surgery, National Taiwan University Hospital, Yunlin Branch, Douliou City, Yunlin County;
Jiun
J
Hsu
Department of Cardiovascular Surgery, National Taiwan University Hospital, Taipei;
Chih-Hsien
CH
Wang
Department of Cardiovascular Surgery, National Taiwan University Hospital, Taipei;
Shu-Chien
SC
Huang
Department of Cardiovascular Surgery, National Taiwan University Hospital, Taipei; ; Department of Cardiovascular Surgery, National Taiwan University Hospital, Hsin-Chu Branch, Hsin-Chu City, Taiwan.
Hsi-Yu
HY
Yu
Department of Cardiovascular Surgery, National Taiwan University Hospital, Taipei;
Nai-Hsin
NH
Chi
Department of Cardiovascular Surgery, National Taiwan University Hospital, Taipei;
I-Hui
IH
Wu
Department of Cardiovascular Surgery, National Taiwan University Hospital, Taipei;
Chih-Yang
CY
Chan
Department of Cardiovascular Surgery, National Taiwan University Hospital, Taipei;
Chung-I
CI
Chang
Department of Cardiovascular Surgery, National Taiwan University Hospital, Taipei;
Shoei-Shen
SS
Wang
Department of Cardiovascular Surgery, National Taiwan University Hospital, Taipei;
Yih-Sharng
YS
Chen