Management of venoarterial extracorporeal membrane oxygenation

Abstract

Management of venoarterial extracorporeal membrane oxygenation (ECMO) is difficult and exposes the patient to the onset of life-threatening complications, sometimes occurring even suddenly. Treating ECMO complications requires available medico-technical support with multidisciplinary competences including intensivists, cardio thoracic surgeons, and perfusionnists. ECMO allows temporary life support as bridge to recovery or to alternative therapies. In the absence of recovery, the indication of heart transplantation or long-term assist device implementation should be considered and regularly revaluated on a daily basis in relation to patient’s improvement. Thus, ECMO management by experienced medico-surgical team is mandatory to guarantee ECMO-treated patients’ safety.