Chest ACCP Education Calendar
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Guest Access | Sign In via User Name/Password
doi:10.1378/chest.07-2512
(Chest. 2008; 134:179-184)
© 2008 American College of Chest Physicians
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Article Archive
Right arrow Download to citation manager
Right arrow reprints & permissions
Google Scholar
Right arrow Articles by Schuerer, D. J. E.
Right arrow Articles by Coopersmith, C. M.
PubMed
Right arrow PubMed Citation
Right arrow Articles by Schuerer, D. J. E.
Right arrow Articles by Coopersmith, C. M.
Related Content
Right arrow Topics in Practice Management

Extracorporeal Membrane Oxygenation*

Current Clinical Practice, Coding, and Reimbursement

Douglas J. E. Schuerer, MD; Nikoleta S. Kolovos, MD; Kayla V. Boyd, BA and Craig M. Coopersmith, MD

* From the Departments of Surgery (Drs. Schuerer and Coopersmith, and Ms. Boyd) and Pediatrics (Dr. Kolovos), Washington University School of Medicine, St. Louis, MO.

Correspondence to: Craig M. Coopersmith, MD, Washington University School of Medicine, 660 South Euclid Ave, Campus Box 8109, St. Louis, MO 63110; e-mail: coopersmithc{at}wustl.edu

Abstract

Extracorporeal membrane oxygenation (ECMO) is a technique for providing life support for patients experiencing both pulmonary and cardiac failure by maintaining oxygenation and perfusion until native organ function is restored. ECMO is used routinely at many specialized hospitals for infants and less commonly for children with respiratory or cardiac failure from a variety of causes. Its usage is more controversial in adults, but select medical centers have reported favorable findings in patients with ARDS and other causes of severe pulmonary failure. ECMO is also rarely used as a rescue therapy in a small subset of adult patients with cardiac failure. This article will review the current uses and techniques of ECMO in the critical care setting as well as the evidence supporting its usage. In addition, current practice management related to coding and reimbursement for this intensive therapy will be discussed.

Key Words: ARDS • cardiac failure • extracorporeal life support • extracorporeal membrane oxygenation • practice management • respiratory failure






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2008 by the American College of Chest Physicians.