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Extracorporeal membrane oxygenation and sepsis.
Crit Care Resusc. 2007 Mar; 9(1):76-80.CC

Abstract

Extracorporeal membrane oxygenation (ECMO) is a controversial means of life support, particularly in adults. Ongoing refinements in circuit technology and widening global experience have led to ECMO being applied to a broader group of conditions than acute respiratory failure and cardiogenic shock. Septicaemia is no longer viewed as a contraindication to ECMO. Acute respiratory distress syndrome and bacterial pneumonia are the most common conditions in sepsis that may require ECMO, although septic shock with refractory hypotension may also be an indication under certain circumstances. The last indication is generally more applicable in children than adults, because of differences in the cardiovascular response to severe sepsis seen across age groups. ECMO has a role as rescue therapy in patients with severe sepsis who would otherwise die of either hypoxaemia or inadequate cardiac output. This review describes the basic technique and application of ECMO in neonates, older children, and adults with sepsis.

Authors+Show Affiliations

Intensive Care Unit, Royal Children's Hospital, Melbourne, VIC, Australia. gmaclaren@iinet.net.auNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Review

Language

eng

PubMed ID

17352671

Citation

Maclaren, Graeme, and Warwick Butt. "Extracorporeal Membrane Oxygenation and Sepsis." Critical Care and Resuscitation : Journal of the Australasian Academy of Critical Care Medicine, vol. 9, no. 1, 2007, pp. 76-80.
Maclaren G, Butt W. Extracorporeal membrane oxygenation and sepsis. Crit Care Resusc. 2007;9(1):76-80.
Maclaren, G., & Butt, W. (2007). Extracorporeal membrane oxygenation and sepsis. Critical Care and Resuscitation : Journal of the Australasian Academy of Critical Care Medicine, 9(1), 76-80.
Maclaren G, Butt W. Extracorporeal Membrane Oxygenation and Sepsis. Crit Care Resusc. 2007;9(1):76-80. PubMed PMID: 17352671.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Extracorporeal membrane oxygenation and sepsis. AU - Maclaren,Graeme, AU - Butt,Warwick, PY - 2007/3/14/pubmed PY - 2007/5/18/medline PY - 2007/3/14/entrez SP - 76 EP - 80 JF - Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine JO - Crit Care Resusc VL - 9 IS - 1 N2 - Extracorporeal membrane oxygenation (ECMO) is a controversial means of life support, particularly in adults. Ongoing refinements in circuit technology and widening global experience have led to ECMO being applied to a broader group of conditions than acute respiratory failure and cardiogenic shock. Septicaemia is no longer viewed as a contraindication to ECMO. Acute respiratory distress syndrome and bacterial pneumonia are the most common conditions in sepsis that may require ECMO, although septic shock with refractory hypotension may also be an indication under certain circumstances. The last indication is generally more applicable in children than adults, because of differences in the cardiovascular response to severe sepsis seen across age groups. ECMO has a role as rescue therapy in patients with severe sepsis who would otherwise die of either hypoxaemia or inadequate cardiac output. This review describes the basic technique and application of ECMO in neonates, older children, and adults with sepsis. SN - 1441-2772 UR - https://www.unboundmedicine.com/medline/citation/17352671/Extracorporeal_membrane_oxygenation_and_sepsis_ L2 - https://medlineplus.gov/sepsis.html DB - PRIME DP - Unbound Medicine ER -