TY - CHAP M1 - Book, Section TI - Chapter 20. Extracorporeal Life Support for Cardiopulmonary Failure A1 - Dalton, Heidi J. A1 - Garcia-Filion, Pamela C. A2 - Tobin, Martin J. PY - 2013 T2 - Principles and Practice of Mechanical Ventilation, 3e AB - Extracorporeal life support (ECLS) is defined as total or partial diversion of a patient’s circulating blood volume into a device that can act as a “lung,” providing oxygenation and carbon dioxide removal, and a pump, which can act like a “heart,” providing circulatory support, or a combination of both functions for patients suffering from both cardiac and pulmonary failure. Adapted from heart-lung machines used for cardiopulmonary bypass, this temporary form of support was termed extracorporeal membrane oxygenation (ECMO) in the past.1–4 Because of vast changes in the circulatory devices now available and the patient populations being treated, however, the term ECMO is being replaced by ECLS as the designation for extracorporeal life support of a variety of indications and devices. Both are used interchangeably in the chapter. Figure 20-1 shows an example of an early cardiopulmonary bypass circuit. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/17 UR - accessmedicine.mhmedical.com/content.aspx?aid=57067601 ER -