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Extra Corporeal Membrane Oxygenation (ECMO)

​​​​​​​​​Extra level support for heart or lung failure

Baylor Scott & White is the largest ECMO provider and the largest ECMO transfer program in the state of Texas. ECMO uses advanced technology to provide temporary blood circulation and respiratory support in cases of life-threatening heart or lung failure, while these organs recover from injury, illness or a surgical procedure. It also can be used as a life-supporting, short-term bridge to heart transplantation or lung transplantation.

ECMO technology both provides needed oxygen to the blood (lung/respiratory support) and helps circulate it throughout the body (heart/circulatory support).

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Conditions treated by ECMO

 

ECMO may be appropriate for patients experiencing heart and/or lung failure due to a variety of causes.

Respiratory (lung) failure due to:

  • Acute respiratory distress syndrome (ARDS)
  • Pneumonia
  • Flu (influenza)
  • Ruptured lung (massive bronchopleural fistula)
  • Post-trauma shock lung
  • End-stage lung disease (cystic fibrosis, pulmonary fibrosis)

Heart failure due to:

  • Heart attack (acute myocardial infarction)
  • Decompensated chronic heart failure
  • Myocarditis
  • Cardiomyopathy
  • Cardiopulmonary resuscitation adjunct (E-CPR)
Frequently asked questions
What is ECMO?

Extracorporeal membrane oxygenation (ECMO) is a life support machine. People who need ECMO have a severe and life-threatening illness that stops their heart or lungs from working properly, and the machine replaces the function of the heart and lungs. People are supported from a few hours up to multiple days, depending on their condition and progress.

Why is ECMO used?

ECMO is used to help people whose:

  • Lungs cannot provide enough oxygen
  • Lungs cannot get rid of carbon dioxide even with help from a mechanical ventilator
  • Heart cannot pump enough blood to the body
How does an ECMO machine work?

The ECMO machine is connected to a patient’s body through plastic tubes placed in large veins and arteries in the body. The ECMO machine pumps blood from the patient’s body to an artificial lung (oxygenator), which adds oxygen to it and removes carbon dioxide. This replaces the function of the patient’s own lungs. The ECMO machine returns the blood back to the patient via a pump with the same force as the heart, replacing its function.

How is a patient on an ECMO machine monitored?

Any patient connected to an ECMO machine in the ICU is also connected to monitors. These monitors measure heart rate, blood, pressure and oxygen levels.

Members of the patient’s healthcare team use all of these results to see how well the ECMO machine is helping the patient and to make changes if needed.

How long is an ECMO machine used?

An ECMO machine simply provides support for a patient while the healthcare team works on treating the underlining disease or injury (such as an infection) or until organs for transplant are available. Some diseases or injuries can be treated quickly, and patients only need the ECMO machine for a few hours. Others need the ECMO machine for several days to weeks.

How does it feel to be on ECMO?

When a patient is first being connected to an ECMO machine, he or she is sedated and does not feel the tubes going into the veins and arteries. Once connected to an ECMO machine, the cannula are not painful. Patients who are on an ECMO machine may be given medicines (sedatives or pain controllers) to keep them comfortable.

What are the risks of being on ECMO?

The healthcare team looking after patients on ECMO aims to avoid any complications that may occur from being on the ECMO machine. Some of the problems include but are not limited to bleeding, kidney failure, infection, leg damage and stroke.

How does a patient get taken off ECMO?

The ECMO machine supports the patient while working to overcome a disease or injury. If the disease or injury improves, the healthcare provider will begin to reduce the amount of support the ECMO machine is providing to see if the patient will be OK. If the patient remains stable during this period, the surgeon will remove the device in the operating room or the ICU and stitch the entry spots to close the sites.

What happens if a patient cannot be taken off ECMO?

ECMO does not cure or treat the disease that led to heart and lung failure. This means it is only a treatment that can prolong the patient’s life during the treatment process. Sometimes patients do not improve while on ECMO and the healthcare provider will assist you and your family with discussions about end-of-life support.

Patient referrals

 
 

To refer a patient 24/7, call the ECMO referral center. The on-call physician will be notified.

Central Texas transfer center

254.724.5827

North Texas transfer center

214.820.6444

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