| Issue |
J Extra Corpor Technol
Volume 44, Number 4, December 2012
|
|
|---|---|---|
| Page(s) | 256 - 263 | |
| DOI | https://doi.org/10.1051/ject/201244256 | |
| Published online | 15 December 2012 | |
Case Report
Extracorporeal Membrane Oxygenation Clinical Dilemmas
Address correspondence to: David Sidebotham, FANZCA, Cardiovascular Intensive Care Unit, Auckland City Hospital, Park Road, Grafton, Auckland, New Zealand. E-mail: dsidebotham@adhb.govt.nz
Received:
22
October
2012
Accepted:
24
November
2012
Three scenarios are presented, based on real patients, illustrating various clinical dilemmas involving critical illness and extracorporeal membrane oxygenation (ECMO). The scenarios are outlined in the form of questions and answers. In most cases there is no single correct answer to the dilemmas presented. The pros and cons of particular interventions are discussed along with the actual treatment provided. In all cases, the ECMO circuit consisted of a polymethylpentene oxygenator (Quadrox PLS; MAQUET Cardiovascular, Hirlingen, Germany) and a centrifugal pump (Rotaflow; MAQUET Cardiovascular). Case 2 has been previously published as a letter to the editor (1).
Key words: extracorporeal membrane oxygenation / ECMO / complications / critical care / extracorporeal life support / respiratory failure / cardiac failure
© 2012 AMSECT
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