The Complex Relationship of Extracorporeal Membrane Oxygenation and Acute Kidney Injury: Causation or Association?
Joint Authors
Fraser, John F.
Kilburn, Daniel J.
Shekar, Kiran
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-14, 14 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-02-24
Country of Publication
Egypt
No. of Pages
14
Main Subjects
Abstract EN
Extracorporeal membrane oxygenation (ECMO) is a modified cardiopulmonary bypass (CPB) circuit capable of providing prolonged cardiorespiratory support.
Recent advancement in ECMO technology has resulted in increased utilisation and clinical application.
It can be used as a bridge-to-recovery, bridge-to-bridge, bridge-to-transplant, or bridge-to-decision.
ECMO can restitute physiology in critically ill patients, which may minimise the risk of progressive multiorgan dysfunction.
Alternatively, iatrogenic complications of ECMO clearly contribute to worse outcomes.
These factors affect the risk : benefit ratio of ECMO which ultimately influence commencement/timing of ECMO.
The complex interplay of pre-ECMO, ECMO, and post-ECMO pathophysiological processes are responsible for the substantial increased incidence of ECMO-associated acute kidney injury (EAKI).
The development of EAKI significantly contributes to morbidity and mortality; however, there is a lack of evidence defining a potential benefit or causative link between ECMO and AKI.
This area warrants investigation as further research will delineate the mechanisms involved and subsequent strategies to minimise the risk of EAKI.
This review summarizes the current literature of ECMO and AKI, considers the possible benefits and risks of ECMO on renal function, outlines the related pathophysiology, highlights relevant investigative tools, and ultimately suggests an approach for future research into this under investigated area of critical care.
American Psychological Association (APA)
Kilburn, Daniel J.& Shekar, Kiran& Fraser, John F.. 2016. The Complex Relationship of Extracorporeal Membrane Oxygenation and Acute Kidney Injury: Causation or Association?. BioMed Research International،Vol. 2016, no. 2016, pp.1-14.
https://search.emarefa.net/detail/BIM-1096825
Modern Language Association (MLA)
Kilburn, Daniel J.…[et al.]. The Complex Relationship of Extracorporeal Membrane Oxygenation and Acute Kidney Injury: Causation or Association?. BioMed Research International No. 2016 (2016), pp.1-14.
https://search.emarefa.net/detail/BIM-1096825
American Medical Association (AMA)
Kilburn, Daniel J.& Shekar, Kiran& Fraser, John F.. The Complex Relationship of Extracorporeal Membrane Oxygenation and Acute Kidney Injury: Causation or Association?. BioMed Research International. 2016. Vol. 2016, no. 2016, pp.1-14.
https://search.emarefa.net/detail/BIM-1096825
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1096825