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Apnea Test on ECMO

A group in Poland has published a nice summary regarding how to perform an apnea test on ECMO. This discussion has also come up on eclsnet over the years. In order to perform a valid apnea test it is generally accepted that the patient’s CO2 must rise above 60 mm Hg (or increase by 20 mmHg above […]

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ECMO for Endocrine Emergencies?

How many of you think ECMO for Endocrine Emergencies?  Have a patient with thyroid storm…think ECMO? Diabetic ketoacidosis…think ECMO?? Pheochromocytoma crisis…ECMO??? A recent report from  Chao, A. et al. Highlighting indication of extracorporeal membrane oxygenation in endocrine emergencies. Sci. Rep. 5, 13361; doi: 10.1038/srep13361 (2015). discusses several cases of endocrine emergencies that have been successfully […]

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Ambulatory ECMO Saves Money

Can Ambulatory ECMO save your program money? A recent article in Respiratory Care indicates Ambulatory ECMO saves money.  According to the abstract, a single center produced a 73% reduction in post lung transplant ICU cost and a 22% reduction in overall hospital cost.   Walking ECMO patients is becoming more and more popular as cost savings and […]

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ECMO Transport

The University of Alabama completed their first ECMO transport in February, 2015. Check out the story at UAB News.

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ECPR Improves Patient Survival

A recent article in the Journal of Thoracic and Cardiovascular Surgery states that ECPR improves patient survival from <20% to 30% with 100% full neurological recovery. In addition, ECPR made successful organ donation possible for some of the patients that did not survive. ECPR is the process of initiating ECMO for the purpose of or […]

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Successful Use of the CARDIOHELP system for Neonates

The ECMO Advantage team has completed successful use of the CARDIOHELP system for neonates.  After several months of planning, training, reconfiguring circuit, and waiting, the ECMO Advantage team has finally had the opportunity to manage three patients with Maquet’s CARDIOHELP.  For the two neonatal patients, we used a modified 1/4 inch circuit adapted to the […]

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Will ExtraCorporeal Support Replace the Ventilator?

Will extracorporeal support replace the ventilator? Traditional ECMO has focused on providing life support for the sickest of the sick once conventional ventilation methods are maximized. But what about using minimally invasive or smaller extracorporeal systems to provide support that would prevent patients from needing to be intubated? Or what if extracorporeal support was used […]

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Ventilator Management on ECMO

Ventilator Management on ECMO has been a debatable topic for many years.   There have been many approaches to managing the sick lung without ECMO support that still create a lot of debate.  But when you add in the complexities of the ECMO system and support processes it becomes even more difficult to find consensus on the best […]

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“ECMO for ARDS in pediatric and adult trauma patients”…UPDATE FROM SEECMO

ECMO for ARDS in pediatric and adult trauma patients? Yes – even with CHI (Closed Head Injury) ! ECMO is being used in these patients with great results. As we are all aware, ARDS is a known complication in trauma patients due to both injury and the results of aggressive resuscitation efforts. Even with attentive measures […]

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