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 the technology for ecmo is largely derived from cardiopulmonary bypass which provides shorter . Extracorporeal life support ecls is an artificial means of maintaining adequate oxygenation and carbon dioxide elimination to enable injured lungs to recover from underlying disease technological advances have made ecls devices smaller less invasive and easier to use ecls might therefore represent an important step towards improved management and outcomes of patients with acute . Objective severe acute respiratory distress syndrome ards is associated with a high level of mortality extracorporeal life support ecls during severe ards maintains oxygen and carbon dioxide gas exchange while providing an optimal environment for recovery of pulmonary function. Extracorporeal life support is now an acceptable form of organ support in clinical practice conclusions and relevance the role of extracorporeal life support in the management of adults with acute respiratory failure is being redefined by advances in technology and increasing evidence of its effectiveness future developments in the field will . Indications for respiratory support in adults current ev idence available from clinical trials and our institutions experience with adult respiratory ecls keywords extracorporeal life support extracorporeal membrane oxygenation extracorporeal carbon dioxide removal acute respiratory distress syndrome low tidal volume ventilation
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