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Extracorporeal Life Support in the Adult

  • Adeel Abbasi
  • Corey E. VentetuoloEmail author
Chapter
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Abstract

Extracorporeal life support (ECLS) has become increasingly popular as a salvage strategy to support critically ill adults. Major advances in technology and the 2009 influenza A (H1N1) pandemic stimulated renewed interest in the use of veno-venous (VV) and veno-arterial (VA) extracorporeal membrane oxygenation (ECMO). While ECLS has evolved considerably since its introduction, it is not without potentially serious complications. The goal of this chapter is to describe the components and configurations of traditional ECLS circuits, discuss common indications for cardiac and respiratory support, review the evidence supporting the use of ECLS in adults, and highlight potential complications.

Keywords

Extracorporeal carbon dioxide removal Extracorporeal life support Extracorporeal membrane oxygenation Veno-arterial extracorporeal membrane oxygenation Veno-venous extracorporeal membrane oxygenation 

Notes

Acknowledgements

The authors would like to thank medical illustrator Dr. Francois Luks.

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Division of Pulmonary, Critical Care and Sleep MedicineWarren Alpert School of Medicine at Brown UniversityProvidenceUSA
  2. 2.Department of Health Services, Policy and PracticeBrown School of Public HealthProvidenceUSA

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