Abdulrahman M, Makki M, Bentaleb M, Altamimi DK, Ribeiro Junior MA. Current role of extracorporeal membrane oxygenation for the management of trauma patients: Indications and results. World J Crit Care Med 2025; 14(1): 96694 [DOI: 10.5492/wjccm.v14.i1.96694]
Corresponding Author of This Article
Marcelo AF Ribeiro Junior, MD, PhD, Chief Physician, Department of Surgery, R Adams Cowley Shock Trauma Center, University of Maryland, 22 S Greene St, Baltimore, MD 21201, United States. drmribeiro@gmail.com
Research Domain of This Article
Surgery
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Crit Care Med. Mar 9, 2025; 14(1): 96694 Published online Mar 9, 2025. doi: 10.5492/wjccm.v14.i1.96694
Table 1 Summary of the indications for the use of veno-venous-extracorporeal membrane oxygenation[10,13-15]
No.
Indication
1
Primary indication: Severe, acute respiratory failure refractory to conventional respiratory and medical therapy; including one or more of hypoxemic respiratory failure, hypercapnic respiratory failure, and ventilation support for those awaiting lung transplantation or those dealing with primary graft dysfunction after lung transplantation
2
Acute respiratory distress syndrome
3
Bronchopleural fistulas and pulmonary air leaks
4
Complicated airway management
5
Bacterial/viral/atypical pneumonia
6
Interstitial pneumonitis
7
Airway obstruction
8
Pulmonary hemorrhage
Table 2 Common indications for veno-arterial-extracorporeal membrane oxygenation use[9,18-21]
Table 4 Contraindications for veno-arterial-extracorporeal membrane oxygenation[9,21-23]
Absolute contraindications
Relative contraindications
Unrecoverable cardiac condition
Contraindication to anticoagulation
Short life expectancy (generally less than 1 year)
Aortic dissection
Preexisting conditions with significant mortality rates and/or those that are incompatible with adequate recovery
Aortic regurgitation
Chronic aortic insufficiency (inconsistencies within the literature regarding this contraindication)
Morbid obesity
Incompatibilities with patient’s goal of care
Peripheral vascular disease
Advanced age (inconsistencies within the literature regarding this contraindication)
Citation: Abdulrahman M, Makki M, Bentaleb M, Altamimi DK, Ribeiro Junior MA. Current role of extracorporeal membrane oxygenation for the management of trauma patients: Indications and results. World J Crit Care Med 2025; 14(1): 96694