Ecmo sentence example

ecmo
  • ECMO is a technique similar to a heart-lung bypass machine, which assists the infant's heart and lung functions with use of an external pump and oxygenator.
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  • Extracorporeal membrane oxygenation (ECMO) is a procedure that uses an artificial heart-lung machine to take over the work of the lungs (and sometimes the heart).
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  • ECMO is used most often in newborns and young children, but it also can be used as a last resort for adults whose heart or lungs are failing.
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  • In newborns, ECMO is used to support or replace an infant's undeveloped or failing lungs by providing oxygen and removing carbon dioxide waste products so the lungs can rest.
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  • ECMO is also used to support a child's damaged, infected, or failing lungs for a few hours to allow treatment or healing.
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  • The ECMO procedure can help a patient's lungs and heart rest and recover, but it will not cure the underlying disease.
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  • Any patient who requires ECMO is seriously ill and will likely die without the treatment.
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  • Typically, ECMO patients have daily chest x rays and blood work, and constant vital sign monitoring.
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  • After the child is stable on ECMO, the breathing machine settings are lowered to "rest" settings, which allows the lungs to rest without the risk of too much oxygen or pressure from the ventilator.
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  • Venoarterial (V-A) ECMO supports the heart and lungs and is used for patients with blood pressure or heart functioning problems in addition to respiratory problems.
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  • Venovenous (V-V) ECMO supports the lungs only.
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  • V-A ECMO requires the insertion of two tubes, one in the jugular and one in the carotid artery.
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  • In the V-V ECMO procedure, the surgeon places a plastic tube into the jugular vein through a small incision in the neck.
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  • Once in place, the tubes are connected to the ECMO circuit, and then the machine is turned on.
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  • A steady amount of blood (called the flow rate) is pushed through the ECMO machine every minute.
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  • Many patients require heavy sedation while they are on ECMO to lessen the amount of oxygen needed by the muscles.
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  • As the patient improves, the amount of ECMO support is decreased gradually, until the machine is turned off for a brief trial period.
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  • If the patient does well without ECMO, the treatment is stopped.
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  • Typically, newborns remain on ECMO for three to seven days, although some babies need more time (especially if they have a diaphragmatic hernia).
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  • Once the baby is off ECMO, he or she will still need a ventilator (breathing machine) for a few days or weeks.
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  • Before ECMO is begun, the patient receives medication to ease pain and restrict movement.
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  • Because infants on ECMO may have been struggling with low oxygen levels before treatment, they may be at higher risk for developmental problems.
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  • Some infants may have difficulty feeding after ECMO treatment.
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  • Bleeding is the biggest risk for ECMO patients, since blood thinners (most often heparin) are given to guard against blood clots.
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  • This is why doctors periodically perform ultrasound brain scans of anyone on ECMO.
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  • Stroke, which may be caused by bleeding or blood clots in the brain, has occurred in some children undergoing ECMO.
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  • If the bleeding cannot be stopped, ECMO is withdrawn.
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  • For this reason, the ECMO circuit is constantly monitored by a trained technologist, nurse, or respiratory therapist.
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  • Normal results include the lungs and/or heart returning to healthy functioning while on ECMO treatment.
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  • ECMO is used only for severely ill children.
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  • Notify a doctor if the child on ECMO is not behaving as expected (sedated and quiet), appears less pink (or bluer than normal), or is bleeding.
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