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What is ECMO?
Like dialysis for unfunctional kidney, Ecmo for unfunctional lung.
Ecmo stands for extracorporeal membrane oxygenation. It is a method of giving oxygen for the body when icu pateint lungs and/or heart are not able to supply oxygen on their own.
Why ICU pateint put on ECMO?
Doctors place ICU patients on ECMO when patients are not able to supply oxygen to the body.
ICU patients’ lungs fail for a number of reasons including pneumonia, lung cancer, pulmonary edema, pulmonary embolism and COPD.
When a patient’s lungs fail, he/she first is intubated (breathing tube) and hooked up to a ventilator (breathing machine).
However, sometimes lungs are so damaged that providing oxygen through intubation is not enough.
This is when doctors turn to v-v ecmo.
A heart can fail for many reasons including heart attack, pulmonary embolism, bad valve disease, or worsening heart failure. When a heart fails, doctors try to fix the underlying problem. They may also start medications (called ionotropes) to help improve the pump function of the heart. If medications are not enough, doctors will turn to v-a ecmo.
How long can someone stay on ecmo?
That is a complicated question. Due to the risks of ecmo discussed above, doctors try to keep patients on ecmo for as short a time as possible. Often patient will be on ecmo for several days up to 1-2 weeks. Every day, several blood and imaging tests are done to determine if a patient is ready to come off ecmo. As the technology of ecmo improves, hopefully side effects will decrease and patients can remain on ecmo for longer periods of time.
What is the difference between ecmo and a ventilator (breathing machine)?
Both ecmo and a ventilator aim to provide oxygen to the body when the patient’s own lungs and breathing are failing. The ventilator assists the patient’s own lungs by pushing oxygen with pressure into the lungs. Ecmo instead provides oxygen directly via a catheter placed in a patient’s vein or artery. We almost always try oxygenating a patient with a ventilator first. However, when a patient’s lungs are too sick for this, we turn to ecmo to assist in providing oxygen to the body. V-v ecmo provides oxygen through a vein. This blood then has to travel to the heart and be pumped around the rest of the body through arteries. Therefore, with v-v ecmo or with a ventilator, a patient must have a well-functioning heart to get the oxygen pumped throughout the body. V-a ecmo has the additional advantage of pumping blood directly to arteries. This “by-passes” the heart and is therefore the method of ecmo we use when a patient’s heart is failing.
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I'm 50 yrs. Slightly I gained weight. I came from quiz that gaining what lead to cancer is real what diet I have to take give suggestion please.
I've discovered milky white secretion from breast after my husband and I had intercourse. The fluid came due to pressure on breast. I am not pregnant neither there is any abnormal lump on my breast or inside. I am really worried about this sudden secretion as it seemed abnormal to me. But it gave me no pain. I've non-classical pcos and I am afraid if there is any hormonal imbalance in my body. What can be the causes of this secretion? Do I need to go for medical examination? I am really worried and confused. Please help me by providing relevant information.
My mother 46 was diagnosed with small cell cervix 3B an year back, she went through combination of chemo and radiation. After the PET we came to know it worked wonders and the disease was no more. But not 2 months after the disease recurred. She has received her 2nd line (pacitaxel and irontecan) and 3rd line (vinorelbine and gemcitabine) which were ineffective. Now doctors say that there is nothing they can do about it. If you have found some results with any medicines or chemo or ayurveda please share your experience. She is loosing her health on daily basis as the disease is progressing. I also came to know in some rare case Avastin came to some results in small cell please share. Or even if you can tell about the supportive treatment which makes her a bit stronger Thank you.
I am 73 years old male with cad, arthritis, prostate problems. Lately having lots of problem with leg cramps at night. Please suggest medical remedy for leg cramps.
I am on glivec 400 od for CML chronic phase for last 1 n 1/2 year achieved mmr in two consecutive rt pcr at a gap of 3 months. My recent problem is sour taste in every food except sweet one. Before this I suffered from bitterness of taste for about 4 months I tried soda /tooth paste/etc to change the ph but all in vein. My treating Dr. says you have to bear it is there any other advice.
I had mild pain in my jaws, pain in one ear and soar throat for a fortnight. Now it is getting reduced. I smokes two to three cigarettes a day and afraid of oral cancer. Do I have to wait for few more days or to consult a doctor immediately.
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