We have adult patients who have stayed in touch with us and we have an ecmo picnic each year to get patients and families together to celebrate a life they probably wouldnt have if it wasnt for this program. Extracorporeal membrane oxygenation ecmo also known as extracorporeal life support ecls is an extracorporeal technique of providing prolonged cardiac and respiratory support to persons whose heart and lungs are unable to provide an adequate amount of gas exchange or perfusion to sustain life. Historically ecmo in patients with adult heart disease has been limited to the operating room in patients with catastrophic cardiac events or inability to wean from cardiopulmonary bypass after cardiac surgery outcomes in this setting have been historically poor 6 even in the modern era with access to advanced chronic left ventricular assist . Describe the ecmo circuit explain the indications for venovenous and venoarterial ecmo in the adult patient detail the indications for blood product replacement in the adult patient on ecmo
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