EXTRACORPOREAL MEMBRANE                            OXYGENATION  (ECMO)       

INTRODUCTION OF ECMO

DEFINITION

In extracorporeal membrane oxygenation (ECMO), blood is pumped outside of the body to Heart-Lung machine that remove carbon dioxide and send oxygen filled blood back to the tissue in the body.

PRINCIPLES OF ECMO

• Desaturated blood is drained via venous cannula

• CO2 is removed ,O2 added through an extracorporeal device

• The blood is then returned to systemic circulation via another vein(VV ECMO) or artery ( VA ECMO ).

HISTORY OF ECMO

COMPONENTS OF ECMO

The basic components of ECMO circuit includes

1. A blood pump
2. Membrane oxygenator and heat exchanger
3. Controller
4. Cannulas
5. Tubings

          

WORKING OF ECMO

TYPES OF ECMO

There are 3 types of ECMO cannulation strategies :

1. VENO – VENOUS ( V-V ) ECMO

2. VENO – ARTERIAL ( V-A ) ECMO

PATIENT MANAGEMENT ON ECMO

1. Anticoagulation management

2. Ventilator management

3. Hemodynamic support

4. Infection control

5. Nutritional support

6. Neurological monitoring

7. Psychosocial support

8. Weaning and decannulation

COMPLICATION OF ECMO

The most common risk that may occur with ECMO include:

1. Bleeding

2. Blood clot(thromboembolism)

3. Blood clotting disorder(coagulopathy)

4. Infection

5. Loss of blood from hands,feets & legs(limb ischemia)

6. Seizures

7. Stroke 

ECMO MACHINE TRANSFORMATION

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FIRST SUCCESSFULL PATIENT AND NEONATE SURVIVOR

NEONATE SERVIVOR