Cool Medicine of the Week: ECMO
I think I’m going to try to start a weekly post where I briefly discuss some medical treatment that I think is neat, interesting, cool, amazing, or otherwise worth mentioning. This week, I’m going to talk about ECMO, or ExtraCorporeal Membrane Oxygenation. You’re welcome to click on through to Wikipedia to read about it there, or you can just read my short summary below.
ECMO is used in some cases where a person’s lungs aren’t working well enough for them to get enough Oxygen. It works as follows:
- Blood is removed from a large vein in the patient’s body.
- That blood crosses a special membrane that causes carbon dioxide to be released and oxygen to be absorbed.
- The blood is returned to the patient’s body either through a large artery or a large vein.
This way, the patient gets the oxygen he needs, even though his lungs aren’t working well. It’s already used with newborn babies when their lungs aren’t working well, whether because of infection, underdevelopment, or trauma. You can check out the Wikipedia article if you’re curious about when the blood is returned via an artery and when it is returned via a vein.
One of the things I think is cool about it, though, is that it’s under investigation for the management of Hanta Virus Respiratory Syndrome. When a person in the US gets the Hanta Virus* it almost always causes lung problems. The person’s lungs fill up with junk, leaving no room for air to go in and out (this is a really simplified way of talking about ARDS) The standard treatment is mechanical ventilation, but that can cause injury to the lungs and isn’t as effective as it could be because the lungs are full of stuff, rather than just not moving like they should.
That’s why I think it’s so cool that they’re looking into ECMO for treatment of it. There’s no guarantee it’ll be the best approach, or any better than the current approach, but it’s a cool way of approaching the problem, I think.
*I said, “When a person in the US gets the Hanta Virus” because the strains that are more common in Europe and Asia cause a very different set of symptoms.