TY - JOUR
T1 - Extracorporeal membrane oxygenation
AU - Schuerer, Douglas J.E.
AU - Kolovos, Nikoleta S.
AU - Boyd, Kayla V.
AU - Coopersmith, Craig M.
PY - 2008/7
Y1 - 2008/7
N2 - Extracorporeal membrane oxygenation (ECMO) is a technique for providing life support for patients experiencing both pulmonary and cardiac failure by maintaining oxygenation and perfusion until native organ function is restored. ECMO is used routinely at many specialized hospitals for infants and less commonly for children with respiratory or cardiac failure from a variety of causes. Its usage is more controversial in adults, but select medical centers have reported favorable findings in patients with ARDS and other causes of severe pulmonary failure. ECMO is also rarely used as a rescue therapy in a small subset of adult patients with cardiac failure. This article will review the current uses and techniques of ECMO in the critical care setting as well as the evidence supporting its usage. In addition, current practice management related to coding and reimbursement for this intensive therapy will be discussed.
AB - Extracorporeal membrane oxygenation (ECMO) is a technique for providing life support for patients experiencing both pulmonary and cardiac failure by maintaining oxygenation and perfusion until native organ function is restored. ECMO is used routinely at many specialized hospitals for infants and less commonly for children with respiratory or cardiac failure from a variety of causes. Its usage is more controversial in adults, but select medical centers have reported favorable findings in patients with ARDS and other causes of severe pulmonary failure. ECMO is also rarely used as a rescue therapy in a small subset of adult patients with cardiac failure. This article will review the current uses and techniques of ECMO in the critical care setting as well as the evidence supporting its usage. In addition, current practice management related to coding and reimbursement for this intensive therapy will be discussed.
KW - ARDS
KW - Cardiac failure
KW - Extracorporeal life support
KW - Extracorporeal membrane oxygenation
KW - Practice management
KW - Respiratory failure
UR - http://www.scopus.com/inward/record.url?scp=47549091610&partnerID=8YFLogxK
U2 - 10.1378/chest.07-2512
DO - 10.1378/chest.07-2512
M3 - Article
C2 - 18628221
AN - SCOPUS:47549091610
SN - 0012-3692
VL - 134
SP - 179
EP - 184
JO - CHEST
JF - CHEST
IS - 1
ER -