Goal-Directed Extracorporeal Circulation: Transferring the Knowledge and Experience from Daily Cardiac Surgery to Extracorporeal Membrane Oxygenation.

Goal-Directed Extracorporeal Circulation: Transferring the Knowledge and Experience from Daily Cardiac Surgery to Extracorporeal Membrane Oxygenation.

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Metabolism management plays an essential role in extracorporeal technologies. There are different metabolic management devices integrated to extracorporeal devices; the most commonly used and accepted metabolic target in adult patients is indexed oxygen delivery (280 mL/min/m²) and cardiac index (2.4 L/min/m²), which can be managed independently or according to other metabolic parameters. Extracorporeal membrane oxygenation (ECMO) is a temporary form of life support providing a prolonged biventricular circulatory and pulmonary support for patients experiencing both pulmonary and cardiac failure unresponsive to conventional therapy.