Clinical Use of Extracorporeal Membrane Oxygenation for Rescue Therapy in Covid-19 Era


Extracorporeal membrane oxygenation (ECMO) is a kind of extracorporeal life support for prolonged hemodynamic and respiratory Assist to persons whose cardio vascular and respiratory system are unable to support basic metabolic needs of the body. ECMO re­mains an option for the treatment of patients with refractory hypoxemia in SARS-CoV-2 disease despite advanced cardiopulmonary support. It is very sophisticated intensive procedure and dependent to the operator skills and experience, but could be a life-saving treatment. This method of treatment could not be suggested as a solution, but since this strategy is the only way left to prevent on witness patient death so, it is still noticeable as a rescue therapy.

[1] Combes A, Hajage D, Capellier G, Demoule A, Lavoué S, Guervilly C, et al. Extracorporeal membrane oxygenation for severe acute respiratory distress syndrome. New England Journal of Medicine. 2018; 378(21):1965-75.
[2] Akoumianaki E, Jonkman A, Sklar MC, Georgopoulos D, Brochard L. A rational approach on the use of extracorporeal membrane oxygenation in severe hypoxemia: advanced technology is not a panacea. Ann Intensive Care. 2021; 11(1):107.
[3] Pham T, Combes A, Rozé H, Chevret S, Mercat A, Roch A, et al. Extracorporeal membrane oxygenation for pandemic influenza A(H1N1)-induced acute respiratory distress syndrome: a cohort study and propensity-matched analysis. Am J Respir Crit Care Med. 2013; 187(3):276-85.
[4] Hong X, Xiong J, Feng Z, Shi Y. Extracorporeal membrane oxygenation (ECMO): does it have a role in the treatment of severe COVID-19? Int J Infect Dis. 2020; 94:78-80
[5] Barbaro RP, Odetola FO, Kidwell KM, Paden ML, Bartlett RH, Davis MM, et al. Association of hospital-level volume of extracorporeal membrane oxygenation cases and mortality. Analysis of the extracorporeal life support organization registry. Am J Respir Crit Care Med. 2015; 191 (8):894-901.
[6] Kusumawardhani N, Dewi IP, Dharmadjati BB. Extracorporeal Membrane Oxygenation Used in Acute Respiratory Distress Syndrome with COVID-19: A Systematic Review and Meta-Analysis. J Saudi Heart Assoc. 2021; 33(2): 177–185.
IssueVol 8 No 1 (2022): Winter QRcode
extracorporeal membrane oxygenation Covid-19 SARS-CoV-2 rescue therapy

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
Jabbari A, Hoseini SS, Jahangirifard A, Enayati A, khori V. Clinical Use of Extracorporeal Membrane Oxygenation for Rescue Therapy in Covid-19 Era. Arch Anesth & Crit Care. 2022;8(1):89-90.