![]() ![]() ![]() Keywords: Extracorporeal membrane oxygenation, Physiology, Shock, Postoperative complications We review the basic physiology of VA ECMO, the mechanism of complications, and the simple management of VA ECMO. Physicians who are using this technology should be knowledgeable on the prevention and management of these complications. It can cause several complications such as left ventricular distension with pulmonary edema, distal limb ischemia, bleeding, and thromboembolism. VA ECMO has a distinct physiology that is referred to as differential flows. Because VA ECMO can increase tissue perfusion by increasing the arterial blood flow, it is used to treat medically refractory cardiogenic shock or cardiac arrest. VA ECMO is composed of a drainage cannula in the venous system and a return cannula in the arterial system. Venoarterial (VA) ECMO is a simplified version of the heart-lung machine that assists native pulmonary and/or cardiac function. Extracorporeal membrane oxygenation (ECMO) is a technique that uses a pump to drain blood from a body, circulate blood through a membrane lung, and return the oxygenated blood back into the body. ![]()
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