Echmo Treatment

ECMO

Medica is the largest and most advanced ECMO center in Asia. Our ECMO journey started in 2014. The ESLO certified centre houses the largest number of ECMO machines in eastern India, supported 24×7 by ECMO specialists. Our experienced specialists have been involved in successful retrieval and transport of patients on ECMO support from other regions/states.

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What is ECMO?

It is a procedure in which blood is pumped outside the body to a heart-lung machine, which removes carbon dioxide and oxygenates the blood before returning it to the patient’s body.

What are the Heart conditions that may need use of ECMO?

Patients who exhibit the following medical conditions may require the use of ECMO:

  • Heart attack (acute myocardial infarction)
  • Heart muscle disease (decompensated cardiomyopathy)
  • Inflammation of the heart muscle (myocarditis)
  • Life-threatening response to infection (sepsis)
  • Low body temperature (severe hypothermia)
  • Some Lung conditions that may need use of ECMO

Respiratory conditions that also require to be treated through ECMO are:

  • Acute respiratory distress syndrome (ARDS), Respiratory Failure
  • Blockage in a pulmonary artery in the lungs (pulmonary embolism)
  • Coronavirus disease (COVID-19)
  • Defect in the diaphragm (congenital diaphragmatic hernia)
  • Flu (influenza), Pneumonia, Hantavirus pulmonary syndrome
  • High blood pressure in the lungs (pulmonary hypertension)
  • Trauma

Our Experience

  • More than 140 cases handled with 50% success rate.
  • Pioneers in treatment of COVID cases with ECMO support in eastern India
  • ECMO Society of India’s accredited centre for Fellowship Programme on ECMO

Our ECMO team has been involved in Air Ambulance transfer of critically ill patients on ECMO support (first such cases in eastern India) in October 2020 – from Siliguri and Bhubaneswar

MEDICA is the largest and most advanced ECMO center in Asia.

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The Outcomes of Using ECMO in Covid-19

In recent times, most of the studies revealed that using ECMO at the right time, in suitable patients, and by the right specialist may improve the survival rate and reduce mortality. Studies also show that the deaths were more in less experienced centers than in more experienced centers. Some studies suggest that ECMO is a valuable intervention in selected patients suffering from COVID-19.

Why Medica?

First Consultation Free

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Free

Minimally Invasive Surgery

Minimally Invasive
Surgery

Experienced Doctors

World Renowned
Surgeons

Covid Safe

Covid Safe
Environment


OUR BLOGS

Young at heart

Old age seems to be inextricably linked to heart disease, and as we get older, our hearts can't beat as fast during physical activity or stress as it once did.

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Heart Attack

There is an avalanche of knowledge available at the click of a mouse button on heart health, as well as a heart attack.

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COVID-19 Heart Disease

People of all ages can be infected by the new Novel coronavirus. But the virus poses a special threat for the people over the age of 60 and those who suffer from other medical conditions,

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COMMON QUESTIONS

The doctor considers the ECMO machine the last option in patients whose lungs or heart are not functioning correctly. The development of this machine was in the 1960s. This machine was for infants who had cardiac problems and problems in the respiratory system. Its use in adults has become wider within the last few years.

The doctor connects the ECMO to the body of the patient through plastic tubes. The doctor inserts the tubes in the large vessels of the neck, chest, or legs. Next, the ECMO machine pumps the blood onto a device known as an oxygenator. This device removes carbon dioxide and adds oxygen. Thus, it performs the function of the lungs. The ECMO machine then supplies the blood to the body through pumping. The force of pumping is equal to that of the heart. The person managing the ECMO machine is known as a perfusionist. Perfusionist controls the level of support required by the patient.

The doctors and perfusionists evaluate the condition of the patient with the help of monitors. The monitor shows several critical parameters such as oxygen levels, heart rate, and blood pressure. The doctor also suggests tests to measure carbon dioxide and oxygen levels. The doctor may also prescribe blood thinners to patients to avoid the formation of a clot. These tests, along with other tests, help the patient determine the patient’s overall condition.

Although ECMO is a life-sustaining device, all patients with severe heart and lung conditions cannot get its support. The doctor will evaluate the patients and determine the need for ECMO. Doctors do not consider the following patients for using ECMO:

  • Patients suffering from multi-organ failure
  • Patients with advanced cancer
  • Patients with hemorrhage, which is increasing
  • Patients having advanced neurological disease or injury
  • Patients with prolonged cardiac arrest

There is a contraindication of ECMO in COVID-19 in the following cases:

  • Older people with severe medical conditions
  • Patients with low immunity
  • Advanced heart failure
  • Obesity with BI above 40 kg/m2

It is critical to note that acute kidney injury is not a contraindication for initiating ECMO. There were many patients on ECMO who had an acute renal injury. In these patients, the doctor suggests renal replacement therapy. ECMO is advisable in those patients in which mechanical ventilation is for less than seven to ten days.

ECMO has the following risks:

  • Infection
  • Stroke
  • Kidney failure
  • Bleeding
  • Reduced blood flow in the leg

But the chances of these things happening to you always lessen when you are getting treated by an expert who has years of experience to their name. Medica Superspecialty Hospital is one of Asia’s most advanced centers for ECMO and we have successfully treated inumerous patients through our dedicated approach towards comprehensive healthcare and recovery.

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