PMID- 31423406
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20201001
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 11
IP  - 8
DP  - 2019 Aug 11
TI  - Venovenous Extracorporeal Membrane Oxygenation Therapy in Adults.
PG  - e5365
LID - 10.7759/cureus.5365 [doi]
LID - e5365
AB  - Extracorporeal membrane oxygenation (ECMO) therapy is used as supportive therapy 
      for patients with respiratory failure, cardiac failure, and cardiopulmonary 
      failure. Venovenous extracorporeal membrane oxygenation (VV-ECMO) is one subtype 
      used for respiratory failure as a supportive treatment for critically ill 
      patients. The principle behind it is that the membrane lung (oxygenator) is 
      placed sequentially with the normal lungs rather than in parallel like with 
      cardiopulmonary bypass, therefore, the lungs do not have to work as hard to 
      oxygenate the blood. Then using a drainage cannula, blood is drained from the 
      right atrium (RA) and after going through the membrane lung, the newly oxygenated 
      blood is returned back to the RA. Because of this, there is enough systemic 
      oxygen delivery to manage metabolism and preserve the airway even at lower tidal 
      volume ventilation settings. With ventilator settings placed at lower tidal 
      volume, there is less risk of barotrauma. This is a review article discussing 
      VV-ECMO therapy with adult patients. It will also go into detail regarding its 
      indications, contraindications, configurations, patient assessment, vascular 
      access, and complications.
FAU - Patel, Avani R
AU  - Patel AR
AD  - Internal Medicine, Northern California Kaiser Permanente, Fremont, USA.
FAU - Patel, Amar R
AU  - Patel AR
AD  - Internal Medicine, Northern California Kaiser Permanente, Fremont, USA.
FAU - Singh, Shivank
AU  - Singh S
AD  - Internal Medicine, Southern Medical University, Guangzhou, CHN.
FAU - Singh, Shantanu
AU  - Singh S
AD  - Pulmonary Medicine, Marshall University School of Medicine, Huntington, USA.
FAU - Munn, Nancy J
AU  - Munn NJ
AD  - Pulmonary Medicine, Veterans Affairs Medical Center, Huntington, USA.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20190811
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC6692097
OTO - NOTNLM
OT  - acute respiratory distress syndrome (ards)
OT  - age-adjusted oxygenation index
OT  - apss
OT  - barotrauma
OT  - extracorporeal membrane oxygenation (ecmo)
OT  - membrane lung
OT  - murray score
OT  - seldinger technique
OT  - semi-seldinger technique
OT  - venovenous extracorporeal membrane oxygenation (vv-ecmo)
COIS- The authors have declared that no competing interests exist.
EDAT- 2019/08/20 06:00
MHDA- 2019/08/20 06:01
PMCR- 2019/08/11
CRDT- 2019/08/20 06:00
PHST- 2019/08/20 06:00 [entrez]
PHST- 2019/08/20 06:00 [pubmed]
PHST- 2019/08/20 06:01 [medline]
PHST- 2019/08/11 00:00 [pmc-release]
AID - 10.7759/cureus.5365 [doi]
PST - epublish
SO  - Cureus. 2019 Aug 11;11(8):e5365. doi: 10.7759/cureus.5365.