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ECMO (Contraindication (Severe pre-existing organ dysfunction, Other…
ECMO
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Complications
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Haemorrhage - associated with anticoagulation requirements, thrombocytopenia
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Alternatives
Ensure all other strategies have been tried: recruitment manoeuvers, prone positioning, NO/inhaled prostacyclin, diuresis etc.
Exclude easily treated reversible problem e.g. pneumothorax, mucous plugging
Ensure optimisation of haemodynamics, consider measurement of adequacy of D02
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Indications
Potentially reversible life-threatening cardiac or respiratory failure that is refractory to conventional therapy.
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Resources required
Experienced and trained staff to insert catheters, set up, monitor and troubleshoot ECMO circuit
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