Anahtar Kelimeler: Ekstrakorporal membran oksijenizasyonu; solunum yetmezliği; kalp yetmezliği;
hasta seçimi
Extracorporeal Membrane Oxygenation ABSTRACT Extracorporeal membrane oxygenation (ECMO) is an advanced cardiopulmonary bypass machine used in
cardiac surgery and can be lifesaving in patients with severe but reversible respiratory failure and/or or cardiac
failure, refractory to conventional therapy. ECMO is not a cure for the underlying disease, but it is used as
temporary support and offers time for the recovery of organs. Moreover, it can be used as a bridge to a more
permanent device or cardiac transplantation.
The ECMO circuit basically consists of a vascular cannula, a pump, and an artificial lung (oxygenator). It can
be set in to two main configurations. Veno-venous (V-V) ECMO provides lung support, while veno-arterial
(V-A) ECMO provides both heart and lung supports. Initially, ECMO was used in neonatal and pediatric
populations to treat respiratory failure. Over time, with the accumulation of experience and advances in
technology, the application of ECMO has been extended, and the number of adult patients receiving this
therapy has substantially increased. In this review, we sought to summarize patient selection, indications,
contraindications, complications, technical aspects, and outcomes of ECMO.
Key Words: Extracorporeal membrane oxygenation; respiratory failure; cardiac failure; patient selection
Sadiye Deniz Özsoy, 1 Hülya Yılmaz Ak 2 1
İstanbul Üniversitesi Kardiyoloji Enstitüsü, Kalp ve Damar Cerrahisi Anabilim Dalı, İstanbul, Türkiye
2
İstanbul Üniversitesi Kardiyoloji Enstitüsü, Anestezi ve Reanimasyon Anabilim Dalı, İstanbul, Türkiye
Ekstrakorporal Membran Oksijenizasyonu Sadiye Deniz Özsoy E-posta: sdenizozsoy@gmail.com
