TY - CHAP M1 - Book, Section TI - Extracorporeal Membrane Oxygenation Use During Crisis in Critical Care A1 - Brenner, Samantha K. A2 - Go, Ronaldo C. PY - 2022 T2 - Understanding Crisis in Critical Care AB - Extracorporeal membrane oxygenation (ECMO) is a resource-intensive rescue strategy, which is powered by a centrifugal pump and serves as a mechanical circulatory support (MCS) device. The two most common indications are either life-threatening pulmonary or cardiac failure or some combination of the two. ECMO can be used in the field as a temporizing measure providing supportive care, if the right team and equipment are available for placement and a safe transfer plan to an ECMO-capable center is readily available. Importantly, ECMO serves as a temporizing measure awaiting either organ recovery or a more permanent device or surgery, such as organ transplant. Effective use of ECMO requires a specialized team of providers to monitor both the patient and the circuit. A team approach reduces ECMO complication rates, which are predominantly renal failure and coagulation disorders—both bleeding and clotting. SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/04/18 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1184387653 ER -