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The State of the Art in Extracorporeal Membrane Oxygenation
Abstract
Extracorporeal membrane oxygenation has evolved in design, technology, patient selection, insertion techniques, adjunct devices, and management in the past 45 years since it began. Outcomes have improved and indications have expanded. It continues to be an expeditious, cost-effective tool for rapid resuscitation of patients with cardiorespiratory failure, whose outcomes without extracorporeal membrane oxygenation intervention are predominately fatal. However, results are still moderately satisfactory, and the ethical aspects of ongoing care need to be at the forefront of daily family discussions in patients for whom a bridge to transplant or definitive device is not possible.
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European Resuscitation Council Guidelines 2021: Ethics of resuscitation and end of life decisions
Mentzelopoulos, S. D., Couper, K., Voorde, P. V. D., Druwé, P., Blom, M., Perkins, G. D., Lulic, I., Djakow, J., Raffay, V., Lilja, G., et al. (2021) · Resuscitation · doi:10.1016/j.resuscitation.2021.02.017 · Cited by 246
Metadata
- Authors
- Pujara, D., Sandoval, E., Simpson, L., Mallidi, H. R., & Singh, S. K.
- Affiliations
- Baylor College of Medicine (US)
- Corresponding author
- Singh, Steve K.
- Venue
- Seminars in Thoracic and Cardiovascular Surgery
- Publisher
- Elsevier BV
- Published
- 2015
- Volume
- 27
- Issue
- 1
- Pages
- 17-23
- ISSN
- 1043-0679 (ISSN-L)
- OpenAlex
- W1885999421
- Cited by
- 19
- References
- 0
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 2 · 2020: 1 · 2019: 2 · 2018: 2 · 2017: 3 · 2016: 2 · 2015: 3
- FWCI
- 0.26
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Seminars in Thoracic and Cardiovascular Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Mechanical Circulatory Support Devices
- Health Sciences › Medicine › Surgery › Transplantation: Methods and Outcomes
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Congenital Heart Disease Studies
- Keywords
- extracorporeal membrane oxygenation, cardiopulmonary failure, patient selection, ECMO outcomes, cost-effectiveness, end-of-life decisions, bridge to transplant, mechanical circulatory support
- MeSH terms
- Humans, Respiratory Insufficiency, Extracorporeal Membrane Oxygenation
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