Abstract :
Extracorporeal membrane oxygenation (ECMO) has emerged as a mechanical circulatory support system
with rapid advancements in its technology. It has become an essential tool in the care of adults
and children with severe cardiac and pulmonary dysfunction refractory to conventional therapy. The
ease of implementation and cost effectiveness makes it highly desirable alternative for bridge to
recovery or decision especially in developing countries like India. However complications and challenges
related to ECMO, require more rigorously designed studies towards redefining management of patients.
Anaesthesiologist being the perioperative physician has an impotant role in managing patients with ECMO.
This review focuses on fundamental principles, technology, indications, management, weaning, transport
protocols, complications, future directions as well as Indian scenario with ECMO utilization.
Keyword :
Extracorporeal membrane oxygenation, ECPR, Indian overview, Integrated ECMO, Perioperative clinical practices
Venoarterial ECMO, Venovenous ECMO.