Geetha Sindhu, Verma Neeta, Chakole Vivek
Anaesthesiology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Jan 31;16(1):e53275. doi: 10.7759/cureus.53275. eCollection 2024 Jan.
Extracorporeal membrane oxygenation (ECMO) has evolved into a pivotal intervention in critical care, offering a lifeline for patients facing severe respiratory or cardiac failure. This review provides a comprehensive exploration of ECMO, spanning its definition and historical background to its contemporary advancements and ongoing impact in critical care. The versatility of ECMO in addressing diverse critical conditions, careful patient selection criteria, and the nuanced management of complications are discussed. Advances in technology, including miniaturization, novel circuit designs, and the integration of remote monitoring, showcase the evolving landscape of ECMO. The review underscores the ongoing impact of ECMO in improving survival rates, enhancing mobility, and enabling remote expertise. As a symbol of hope and innovation, ECMO's lifesaving potential is evident in its ability to navigate the complexities of critical care and redefine the boundaries of life support interventions.
体外膜肺氧合（ECMO）已发展成为重症监护中的关键干预措施，为面临严重呼吸或心力衰竭的患者提供了一条生命线。本综述全面探讨了ECMO，涵盖其定义、历史背景、当代进展以及在重症监护中的持续影响。讨论了ECMO在应对各种危急情况方面的多功能性、谨慎的患者选择标准以及并发症的细微管理。技术进步，包括小型化、新型回路设计和远程监测的集成，展示了ECMO不断演变的格局。该综述强调了ECMO在提高生存率、增强活动能力和实现远程专业支持方面的持续影响。作为希望和创新的象征，ECMO的救命潜力在其应对重症监护复杂性和重新定义生命支持干预界限的能力中显而易见。
