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Radiologic Technologist Approach to the Patient on Extracorporeal Membrane Oxygenation

Extracorporeal membrane oxygenation (ECMO) is a form of temporary circulatory support in patients with impaired heart and / or lung function, in whom conventional methods of treatment have been exhausted. ECMO support does not treat the underlying pathology, but allows oxygenation and perfusion of vital organs until complete recovery or as a destination therapy for heart and / or lung transplantation. It is an integral part of modern intensive care for patients with severely impaired cardiac and / or respiratory function. Medical staff involved in the treatment and monitoring of patients on ECMO support should be familiar with the basics of the ECMO system, in accordance with the workplace and with approach to the patient on ECMO support. A radiologist who performs a radiological examination in such a patient requires cooperation with the anaesthesiology team and the team of perfusionists, so that the basic conditions for performing the examination are met and the examination is successfully performed. The aim of this paper is to acquaint radiological technologists with the approach to the patient on ECMO support and to present the experiences of the Radiology Department at Clinical Hospital Centre Rijeka in performing radiological examinations on such patients. Data are collected through hospital databases and are related to the demographic characteristics of patients and indications for performing computed tomography (CT) examinations. Patients were selected according to the type of ECMO support and according to the region of interest for performing a CT scan in the period from 1st January 2017 to 15th August 2019.

Extracorporeal membrane oxygenation, perfusion, computed tomography, radiological examinations

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