RT Book, Section A1 Brenner, Samantha K. A2 Go, Ronaldo C. SR Print(0) ID 1184387653 T1 Extracorporeal Membrane Oxygenation Use During Crisis in Critical Care T2 Understanding Crisis in Critical Care YR 2022 FD 2022 PB McGraw Hill PP New York, NY SN 9781264258710 LK accessanesthesiology.mhmedical.com/content.aspx?aid=1184387653 RD 2024/03/29 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.