[TJS2-1] ECMO: Our experience in Thailand
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ライブ配信】
Extracorporeal life support (ECLS) or Extracorporeal membrane oxygenator (ECMO) is one of the important cardiopulmonary life supports in cardio or pulmonary failure patient who does not response to conventional medical management. This organ support was firstly introduced in Thailand for cardiovascular support along with the artificial heart after cardiac surgery. Then venovenous (VV) ECMO was gradually been used for patients with severe respiratory failure who did not response to conventional medical therapy including the use of extracorporeal CO2 removal, and the combination of ECMO system with renal replacement therapy (RRT) or blood purification in septic shock patient.
With the complex of ECMO systems, several ECMO meetings were organized in Thailand including practice stations. Currently more and more ECMO supports had been use in medical school and private hospitals including ECMO in cardiac arrest patients (ECMO CPR) and the use of ECMO during transported these patients to medical centers for definite organ supports such as organ transplantations. With the high cost and complications associated with these organ support, the ECMO support in Thailand is still be in the learning period, slow growing in number and is reviewing by the government for reasonable reimbursement.
With the complex of ECMO systems, several ECMO meetings were organized in Thailand including practice stations. Currently more and more ECMO supports had been use in medical school and private hospitals including ECMO in cardiac arrest patients (ECMO CPR) and the use of ECMO during transported these patients to medical centers for definite organ supports such as organ transplantations. With the high cost and complications associated with these organ support, the ECMO support in Thailand is still be in the learning period, slow growing in number and is reviewing by the government for reasonable reimbursement.