Hand-held minimised extracorporeal membrane oxygenation: a new bridge to recovery in patients with out-of-centre cardiogenic shock☆☆☆

Abstract

The use of hand-held Mini-ECMO systems enables for the first time the rapid onset of extracorporeal life support independent from the patient's current location. However, success is extremely time- and team dependent. Highly skilled interdisciplinary patient management is essential to let minimised-ECMO become a new and highly effective bridge to recovery in out-of-centre cardiogenic shock patients.

Venovenous extracorporeal membrane oxygenation for acute lung failure in adults

“…Accompanied by an emergency physician and a pump technician, the patient's management is straightforward. 20 Complication rates during vv-ECMO were within an acceptable range. Bleeding complications at cannulation sites were usually controlled by gentle pressure, and surgical revision was not necessary.…”

Technological advancements in the care of the trauma patient

“…Longterm functional outcomes are similar to hemodialysis and acute respiratory distress syndrome (ARDS) survivors [89,90]. Hand-held portable ECMO and extracorporeal lung assist devices have been reported [91,92].…”

Development of a new interfacility extracorporeal membrane oxygenation transport program for pediatric lung transplantation evaluation

“…The Cardiohelp TM machine has facilitated our team's development with implications that are worthy of mention. Since its release, centers using this miniaturized ECMO machine have produced a body of literature detailing its use in the transport setting (14)(15)(16)(17). In our experience the Cardiohelp TM has performed admirably with no mechanical complications to date.…”