Volume : 11, Issue : 11, November – 2024
Title:
ROLE OF EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) IN EMERGENCIES: A COMPREHENSIVE REVIEW
Authors :
Yusif Husin. Al Enazi, DUBAYYAN SATI FARI ALSHAIBANI, RAED MARZOUQ ALOTAIBI, Abdulrahman Jammaz Aljammaz, Turki Mohammad Hasssan Almalki, Anwar modasher AlEnazi , Thamer Mudhi Saeen Alhazmi
Abstract :
Background: Extracorporeal Membrane Oxygenation (ECMO) is now a standard life-support modality in intensive care, particularly for emergency situations of cardiac and respiratory failure. Initially applied only in controlled intensive care settings, its application has now extended to pre-hospital, intraoperative, and emergency settings, transforming the treatment of life-threatening conditions.
Objective: This review analyzes the evolving role of ECMO in emergency medical care, encompassing its indications, utilization in various clinical situations, and impact on patient outcome.
Methods: A narrative review was conducted through the examination of peer-reviewed articles, case reports, and clinical guidelines on ECMO utilization in the emergency department. Databases included PubMed, Scopus, and ScienceDirect databases with emphasis on publication in the last decade.
Results: ECMO has demonstrated significant benefits in numerous emergency conditions, including cardiac arrest (E-CPR), pulmonary embolism, trauma-induced ARDS, and cardiogenic shock. Enhanced survival and neurological outcomes have been reported with early initiation and correct patient selection for ECMO. Greater accessibility and outcomes have also been achieved with the use of mobile ECMO teams and pre-hospital cannulation.
Conclusion: ECMO is no longer the preserve of routine ICU management but becomes a lifeline in urgent treatment of seriously ill patients. Its success depends greatly, though, on prompt initiation, specialist multidisciplinary teams, and availability of infrastructure. Standard emergency ECMO guidelines and its reach through mobile platforms and training are suggestions for the future.
Keywords: Extracorporeal Membrane Oxygenation (ECMO), Emergency Medicine, E-CPR, Cardiogenic Shock, Trauma Resuscitation
Cite This Article:
Please cite this article in press Yusif Husin. Al Enazi et al., Role Of Extracorporeal Membrane Oxygenation (ECMO) In Emergencies: A Comprehensive Review..,Indo Am. J. P. Sci, 2024; 11 (11).
Number of Downloads : 10
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