What is oxygenation of the extracorporeal membrane?

Oxygenation or ECMO is a non -turary membrane a way to support the heart and lungs for people who are seriously ill. Its most common application is in a pediatric environment, but can also be used for adults. ECMO was modified from machines to bypass with Dr. Robert Bartlett of the University of Michigan Hospital at 70 years and unlike the bypass can be used for a longer period of time, although long use is associated with a higher degree of complications. The machine feeds the blood through what is called an oxygenation membrane, which can also be called artificial lungs that adds oxygen back to the blood. The ECMO must also maintain the blood at a suitable temperature so that the body does not cool down when it flows back into it. In all cases, "blue blood" or blood is exhausted from oxygen and returns like a "red -anem" or oxygen -rich blood.

There are two types of extracorporeal oxygenation of the membrane, and these are called veno-arTerial and veno-venous (VA and VV). VA ECMO removes blood from the vein and returns it to the artery and bypasses the heart. This provides support for heart and lungs. VV ECMO removes blood from the vein and returns it to the vein, and this tends to be most used when only the lungs are endangered. In both types, people can expect to see two catheters or cannulas attached to the body, one blood removal and one returning it.

The use of oxygenation of extracorporeal membranes can be supported in many circumstances. The reasons why you could use a serious compromise of lungs, waiting for heart/lung transplantation, heart transplant or cardiac surgery, lung immaturity, Meconium and pneumothorax aspiration syndrome. The amount of days that a person could spend on ECMO VARIE and can also depend on people tolerating therapy.

ECMO risks include rich bleeding or blood clots. Heparin, anticoagulant, must be used to ensure that the blood in the machine does not overlap. This use, especially in very smallThe children are reflected in the increased risk of bleeding in the brain. Therefore, although ECMO is considered effective therapy, it is also considered to be the therapy of the last option.

Highly trained perfusionists carefully oversee people on ECMO machines. Not every hospital has these machines at their disposal because they can only be used when the perfusionist exists to control them and make sure the patient tolerates treatment. ECMO treatment is most common in tertiary facilities.

While the oxygenation on the non -rotation can be considered a good thing that may increase the level of survival under certain conditions, is not always welcomed with enthusiasm, especially parents whose newborns will undergo it. ECMO treatment is difficult for parents who may not be able to hold or feed their children for many days. However, they can touch, stroke and talk to their newborns or young children, and this is very encouraged.