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Extracorporeal membrane oxygenation: Perioperative clinical practices and the Indian overview

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Review Article

Author Details : Sambhunath Das*, B Uma, Arun Kumar, Sandeep Chauhan

Volume : 7, Issue : 3, Year : 2020

Article Page : 369-379

https://doi.org/10.18231/j.ijca.2020.068

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Abstract

Extracorporeal membrane oxygenation (ECMO) has emerged as a mechanical circulatory support system
with rapid advancements in its technology. It has become an essential tool in the care of adults
and children with severe cardiac and pulmonary dysfunction refractory to conventional therapy. The
ease of implementation and cost effectiveness makes it highly desirable alternative for bridge to
recovery or decision especially in developing countries like India. However complications and challenges
related to ECMO, require more rigorously designed studies towards redefining management of patients.
Anaesthesiologist being the perioperative physician has an impotant role in managing patients with ECMO.
This review focuses on fundamental principles, technology, indications, management, weaning, transport
protocols, complications, future directions as well as Indian scenario with ECMO utilization.

Keywords: Extracorporeal membrane oxygenation, ECPR, Indian overview, Integrated ECMO, Perioperative clinical practices
Venoarterial ECMO, Venovenous ECMO.

How to cite : Das S , Uma B , Kumar A , Chauhan S , Extracorporeal membrane oxygenation: Perioperative clinical practices and the Indian overview. Indian J Clin Anaesth 2020;7(3):369-379

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