Monitoring of the Adult Patient on Venoarterial Extracorporeal Membrane Oxygenation

Author:

Chung Mabel1ORCID,Shiloh Ariel L.1,Carlese Anthony12

Affiliation:

1. Division of Critical Care Medicine—The Jay B. Langner Critical Care Service, Department of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY 10467, USA

2. Cardiothoracic Intensive Care Unit, Moses Campus, USA

Abstract

Venoarterial extracorporeal membrane oxygenation (VA ECMO) provides mechanical support to the patient with cardiac or cardiopulmonary failure. This paper reviews the physiology of VA ECMO including the determinants of ECMO flow and gas exchange. The efficacy of this therapy may be determined by assessing patient hemodynamics and device flow, overall gas exchange support, markers of adequate oxygen delivery, and pulsatility of the arterial blood pressure waveform.

Publisher

Hindawi Limited

Subject

General Environmental Science,General Biochemistry, Genetics and Molecular Biology,General Medicine

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