The role of echocardiography in the management of patients supported by extracorporeal membrane oxygenation

Platts, David Gerard, Sedgwick, John Francis, Burstow, Darryl John, Mullany, Daniel Vincent and Fraser, John Francis (2011) The role of echocardiography in the management of patients supported by extracorporeal membrane oxygenation. Journal of the American Society of Echocardiography, 25 2: 1-11. doi:10.1016/j.echo.2011.11.009


Author Platts, David Gerard
Sedgwick, John Francis
Burstow, Darryl John
Mullany, Daniel Vincent
Fraser, John Francis
Title The role of echocardiography in the management of patients supported by extracorporeal membrane oxygenation
Journal name Journal of the American Society of Echocardiography   Check publisher's open access policy
ISSN 0894-7317
Publication date 2011
Sub-type Article (original research)
DOI 10.1016/j.echo.2011.11.009
Volume 25
Issue 2
Start page 1
End page 11
Total pages 11
Place of publication Philadelphia, PA, U.S.A.
Publisher Mosby, Inc.
Collection year 2012
Language eng
Abstract Extracorporeal life support can be viewed as a spectrum of modalities based on modifications of a cardiopulmonary bypass circuit to provide cardiac and respiratory support, which can be used for extended periods, from hours to several weeks. Extracorporeal membrane oxygenation (ECMO) is among the most frequently used forms of extracorporeal life support. It can be configured for venovenous blood flow, to provide adequate oxygenation and carbon dioxide removal in isolated refractory respiratory failure, or in a venoarterial configuration, when support is required for cardiac and/or respiratory failure. Echocardiography plays a fundamental role throughout the entire journey of a patient supported on ECMO. It provides information that assists in patient selection, guides the insertion and placement of cannulas, monitors progress, detects complications, and helps in determining cardiac recovery and the weaning of ECMO support. Although there are extensive published data regarding ECMO, particularly in the pediatric population, there is a paucity of data outlining the role of echocardiography in guiding the management of adult patients supported by ECMO. ECMO is likely to become an increasingly used form of cardiorespiratory support within the critical care setting. Hence, clinicians and sonographers who work within echocardiography departments at institutions with ECMO programs require specific skills to image these patients.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes In Press. Available online 9 December 2011.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Medicine Publications
 
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Created: Wed, 21 Dec 2011, 12:01:57 EST by Matthew Lamb on behalf of School of Medicine