REVIEW ARTICLE
Year : 2019  |  Volume : 13  |  Issue : 1  |  Page : 1-5

Extracorporeal membrane oxygenation cardiopulmonary resuscitation, a luxury we cannot afford missing: a narrative review


1 Department of Anesthesia and Intensive Care, Kasr Al-Ainy Faculy of Medicine,Cairo University, Giza, Egypt; Department of Anaesthesia, Royal Brompton Hospital, Royal Brompton and Harefield Foundation Trust, London, UK
2 Department of Anaesthesia, Royal Brompton Hospital, Royal Brompton and Harefield Foundation Trust, London, UK

Correspondence Address:
Hisham Hosny
Royal Brompton Hospital, Sydney Street, London SW3 6NP, UK

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ejca.ejca_9_19

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Extracorporeal membrane oxygenation (ECMO) was introduced into practice since more than four decades to support patients with advanced yet potentially reversible cardiopulmonary failure. Following several prospective clinical trials, ECMO is considered a widely accepted support modality in severe neonatal respiratory failure and in pediatric cardiac failure, particularly in the perioperative environment. Compared with conventional CPR, ECPR provides higher level of cardiac output support and several potential advantages including a higher rate of successful ROSC, support of post-resuscitation cardiogenic shock while arranging and performing coronary interventions and maintaining organ perfusion during recovery of native cardiac output.


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