The machine enriches the blood with oxygen and removes carbon dioxide. The blood is then returned to the body. In order to transport sufficient blood, large catheters are required, which are placed in large arteries or veins. The insertion is usually performed under anesthesia by the cardiac surgeon. It is important for the therapy that the blood does not clot in the machine. For this reason, anticoagulant substances are administered. There is therefore an increased risk of bleeding. Safety is also guaranteed by cardio technicians on site. They regularly check the devices and exchange information with the treatment team. Overall, this therapy involves a great deal of effort and a non-negligible complication rate, which is why it is only used in cases of severe heart or lung failure.
The educational film ECMO-ECLS gives everyone involved in the treatment of patients on the extracorporeal circuit a basis for understanding the system, its structure and how it works. In addition, the various (contra) indications are mentioned and the aspects of daily monitoring and possible complications are discussed.