Joseph B Zwischenberger a, James E Lynch b. The Lancet, Early Online Publication, 16 September 2009
Over the past 30 years, extracorporeal membrane oxygenation (ECMO), in both venoarterial and venovenous configuration, has become the standard of care for neonates with severe respiratory failure and for postoperative support after congenital heart repair. However, the use of ECMO in adults is not so straightforward. The ECMO experience in adults has been confined to a few highly specialised centres due to the associated expense and training necessary as well as the disappointing results reported in the only two randomised trials.
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Related article on the HKSCCM website about a critical appraisal of the CESAR study here