With advances in mechanical circulation, venoarterial extracorporeal membrane oxygenation has become an established technique to provide cardiopulmonary support for patients with cardiovascular collapse. This article reviews the physiological principles of such extracorporeal technique and its interaction with the native heart. Practical aspects including equipment, patient selection, and commo...

Background and Aim of Study: The use of Low-molecular-weight heparin (LMWH) for hemodialysis anticoagulation has been proposed as effective and safe for hemodialysis (HD) anticoagulation as standard unfractionated heparin (UFH). The aim of our study was to assess the use of LMWH for hemodialysis anticoagulation in comparison to UFH, including hemorrhagic events and clotting of the extracorporea...

In today’s Lancet, Yih-Sharng Chen and colleagues show the possible benefi ts of extracorporeal life-support in adults receiving cardiopulmonary resuscitation (CPR) in hospital for more than 10 min for problems of cardiac origin. Irrespective of the advancements made in con ventional CPR, median survivals to discharge after involvement of emergency medical services are only 6·4% for out-of-hosp...

Objective: This study aimed to determine the dialyzability of common pesticide surfactants. Methods: Hemodialysis and hemoperfusion were performed for three surfactants-sodium dodecylbenzenesulfonate, lignosulfonic acid sodium, and naphthalenesulfonic acid polymer with formaldehyde-with buffer solutions (2 L) containing 0.2% surfactant with or without bovine serum albumin (3.0 g/dL). Results: T...

In extracorporeal circulation blood is pumped out, purified, and pumped back into the patient’s body. A typical system consists of the blood pumps, oxygenators, and cannulas. During extracorporeal blood remains in contact with a foreign surface. This leads to the activation of inflammatory mediators, which can give rise to oxidative stress in cells. The aim of this study was to estimate how ant...