Publications by authors named "L Broman"
Article Synopsis
- The text discusses the occurrence of dual circulation during venoarterial extracorporeal membrane oxygenation (VA-ECMO), where blood from the body and an artificial heart/lung system mix, resulting in differing oxygen and carbon dioxide levels in two separate circulations.
- This phenomenon arises when native blood flow from the heart meets retrograde blood flow from the artificial system, creating distinct physiological environments on either side of the mixing point.
- The authors aim to clarify the terminology surrounding this issue to improve communication and clinical management for patients undergoing VA-ECMO treatment.
Despite ECMO being a well-accepted and established life-saving support for newborns, prematurity (<34 weeks of gestation) and low birth weight <2.0 kg are still considered relative contraindications due to the fear of intracranial bleeding complications. In the last decades, outcome in extracorporeal life support for pre-term babies has improved, and morbidity dominated by intracranial bleedings has decreased.
View Article and Find Full Text PDFThis review highlights advancements in extracorporeal life support (ECLS), emphasizing the critical role of standardized terminology, particularly for extracorporeal membrane oxygenation (ECMO) in treating right ventricular and respiratory failure. Advocating for the adoption of the Extracorporeal Life Support Organization (ELSO) Maastricht Treaty for ECLS Nomenclature guidelines, it aims to resolve communication barriers in the ECMO field. Focusing on venopulmonary (VP) ECMO utilizing central pulmonary artery (PA) access, this review details surgical approaches and introduces a terminology guide to support effective knowledge exchange and advancements in patient care.
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