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Abstract
The utilization of extracorporeal membrane oxygenation (ECMO) for cardiopulmonary support continues to increase globally, with > 190,000 ECMO cases reported to the international Extracorporeal Life Support Organization Registry. The present review aims to synthesize important contributions to the literature surrounding the management of mechanical ventilation, prone positioning, anticoagulation, bleeding complications, and neurologic outcomes for infants, children, and adults undergoing ECMO in 2022. Additionally, issues related to cardiac ECMO, Harlequin syndrome, and anticoagulation during ECMO will be discussed.
- extracorporeal membrane oxygenation
- prone position
- ARDS
- mechanical ventilation
- bleeding
- transfusion
- anticoagulation
- ECPR
- acute brain injury
Footnotes
- Correspondence: Craig R Wheeler DHSc RRT RRT-NPS, Department of Respiratory Care and Department of Extracorporeal Membrane Oxygenation, Boston Children’s Hospital, Boston, Massachusetts. E-mail: craig.wheeler{at}childrens.harvard.edu
Dr Wheeler discloses a relationship with Bunnell. Mr Bullock discloses no conflicts of interest.
Dr Wheeler presented a version of this paper during the Year in Review 2022 Symposium at AARC Congress 2022, held November 9–11, 2022, in New Orleans, Louisiana.
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