Extracorporeal Membrane Oxygenation Circuitry

被引:117
作者
Lequier, Laurance [1 ]
Horton, Stephen B. [2 ]
McMullan, D. Michael [3 ]
Bartlett, Robert H. [4 ]
机构
[1] Univ Alberta, Stollery Childrens Hosp, Edmonton, AB, Canada
[2] Univ Melbourne, Royal Childrens Hosp, Dept Paediat, Fac Med, Melbourne, Vic, Australia
[3] Seattle Childrens Hosp, Mech Cardiac Support & ECMO, Seattle, WA USA
[4] Univ Michigan, Ann Arbor, MI 48109 USA
基金
美国国家卫生研究院;
关键词
cannula; extracorporeal life support; oxygenator; pump; LIFE-SUPPORT; CENTRIFUGAL; EXPERIENCE; PRESSURE; OUTCOMES; PUMPS; ECMO;
D O I
10.1097/PCC.0b013e318292dd10
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
The extracorporeal membrane oxygenation circuit is made of a number of components that have been customized to provide adequate tissue oxygen delivery in patients with severe cardiac and/or respiratory failure for a prolonged period of time (days to weeks). A standard extracorporeal membrane oxygenation circuit consists of a mechanical blood pump, gas-exchange device, and a heat exchanger all connected together with circuit tubing. Extracorporeal membrane oxygenation circuits can vary from simple to complex and may include a variety of blood flow and pressure monitors, continuous oxyhemoglobin saturation monitors, circuit access sites, and a bridge connecting the venous access and arterial infusion limbs of the circuit. Significant technical advancements have been made in the equipment available for short- and long-term extracorporeal membrane oxygenation applications. Contemporary extracorporeal membrane oxygenation circuits have greater biocompatibility and allow for more prolonged cardiopulmonary support time while minimizing the procedure-related complications of bleeding, thrombosis, and other physiologic derangements, which were so common with the early application of extracorporeal membrane oxygenation. Modern era extracorporeal membrane oxygenation circuitry and components are simpler, safer, more compact, and can be used across a wide variety of patient sizes from neonates to adults.
引用
收藏
页码:S7 / S12
页数:6
相关论文
共 19 条
[11]   SEAL-LESS CENTRIFUGAL BLOOD PUMP WITH MAGNETICALLY SUSPENDED ROTOR - ROT-A-FLOT [J].
MENDLER, N ;
PODECHTL, F ;
FEIL, G ;
HILTMANN, P ;
SEBENING, F .
ARTIFICIAL ORGANS, 1995, 19 (07) :620-624
[12]   The inflammatory and coagulative response to prolonged extracorporeal membrane oxygenation [J].
Peek, GJ ;
Firmin, RK .
ASAIO JOURNAL, 1999, 45 (04) :250-263
[13]   Early experience with a polymethyl pentene oxygenator for adult extracorporeal life support [J].
Peek, GJ ;
Killer, HM ;
Reeves, R ;
Sosnowski, A ;
Firmin, RK .
ASAIO JOURNAL, 2002, 48 (05) :480-482
[14]   Improved oxygenation with reduced recirculation during venovenous ECMO: comparison of two catheters [J].
Rais-Bahrami, K ;
Walton, DM ;
Sell, JE ;
Rivera, O ;
Mikesell, GT ;
Short, BL .
PERFUSION-UK, 2002, 17 (06) :415-419
[15]  
Tamari Y, 1999, J Extra Corpor Technol, V31, P84
[16]  
Toomasian JM., 2012, ECMO Extracorporeal Cardiopulmonary Support in Critical Care, P107
[17]   Variability in systemic arterial pressure during closed- and open-bridge extracorporeal life support:: An in vitro evaluation [J].
Totapally, BR ;
Sussmane, JB ;
Hultquist, K ;
Sapp, D ;
Andreoulakis, N ;
Wolfsdorf, J .
CRITICAL CARE MEDICINE, 2000, 28 (06) :2076-2080
[18]   Evaluation of a preprimed microporous hollow-fiber membrane for rapid response neonatal extracorporeal membrane oxygenation [J].
Walczak, R ;
Lawson, DS ;
Kaemmer, D ;
McRobb, C ;
McDermott, P ;
Smigla, G ;
Shearer, I ;
Lodge, A ;
Jaggers, J .
PERFUSION-UK, 2005, 20 (05) :269-275
[19]   Clinical Evaluation of Two Different Extracorporeal Membrane Oxygenation Systems: A Single Center Report [J].
Yu, Kun ;
Long, Cun ;
Hei, Feilong ;
Li, Jingwen ;
Liu, Jinping ;
Ji, Bingyang ;
Gao, Guodong ;
Zhang, Haitao ;
Song, Yunhu ;
Wang, Wei .
ARTIFICIAL ORGANS, 2011, 35 (07) :733-U151