ECLS in Trauma: Practical Application and a Review of Current Status

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Extracorporeal life support has evolved considerably overthe past two decades. Once considered as salvage or experimental therapy in adults, extracorporeal membrane oxygenation (ECMO) is evolving into a mainstream treatment for adult critical care. This is especially true in trauma and high-risk surgical patients, who have traditionally been excluded from consideration. Several technological advances have made this possible. This includes anticoagulant-bonded circuits, device miniaturization, servo-regulated centrifugal systems, and more efficient oxygenators. Adult ECMO may now be rapidly deployed for severe acute respiratory distress syndrome (ARDS) and cardiogenic shock. Trauma and surgical patients with severe ARDS should be considered for ECMO early in their clinical course to provide optimal lung rest.

Original languageEnglish (US)
Pages (from-to)1-6
Number of pages6
JournalWorld Journal of Surgery
DOIs
StateAccepted/In press - Jun 9 2016

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Extracorporeal Membrane Oxygenation
Severe Acute Respiratory Syndrome
Adult Respiratory Distress Syndrome
Wounds and Injuries
Miniaturization
Oxygenators
Salvage Therapy
Investigational Therapies
Cardiogenic Shock
Critical Care
Anticoagulants
Equipment and Supplies
Lung
Therapeutics

ASJC Scopus subject areas

  • Surgery

Cite this

ECLS in Trauma : Practical Application and a Review of Current Status. / Zonies, David.

In: World Journal of Surgery, 09.06.2016, p. 1-6.

Research output: Contribution to journalArticle

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