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REVIEW article

Front. Med.
Sec. Intensive Care Medicine and Anesthesiology
Volume 11 - 2024 | doi: 10.3389/fmed.2024.1394051
This article is part of the Research Topic The Anesthesiologist as an Avatar: Bending Air to Preserve Life View all articles

EXTRACORPOREAL MEMBRANE OXYGENATION IN CRITICALLY ILL PATIENTS WITH ACTIVE HEMATOLOGIC AND NONHEMATOLOGIC MALIGNANCY: A LITERATURE REVIEW

Provisionally accepted
Roberto R. Filho Roberto R. Filho 1,2*Daniel Joelsons Daniel Joelsons 2Bruno d. Bravim Bruno d. Bravim 2
  • 1 Faculdade Israelita de Ciências da Saúde Albert Einstein Hospital Israelita Albert Einstein, São Paulo, Brazil
  • 2 Albert Einstein Israelite Hospital, São Paulo, São Paulo, Brazil

The final, formatted version of the article will be published soon.

    Combined progress in oncology and critical care medicine has led to new aspirations and discussions in advanced life support modalities in the intensive care unit. Over the last decade, extracorporeal membrane oxygenation, previously considered unsuitable for oncologic patients, has become increasingly popular, with more diverse applications. Nevertheless, mortality remains high in critically ill cancer patients and the eligibility for extracorporeal membrane oxygenation can be extremally challenging. This scenario is even more difficult due the uncertain prognosis regarding the underlying malignancy, the increased rate of infections related to intensive care unit admission, and the high risk of adverse events during extracorporeal membrane oxygenation support. With advances in technology and better management involving extracorporeal membrane oxygenation, new data on clinical outcomes can be found. Therefore, this review article evaluates the indicators for extracorporeal membrane oxygenation in different types of oncology patients and the possible subgroups who could benefit from it. Further, we highlight the prognosis, the risk factors for complications during this support and the importance of decision-making based on a multidisciplinary team in the extracorporeal membrane oxygenation indication.

    Keywords: Extracorporeal Membrane Oxygenation, Hematology, oncology, malignancy, Intensive Care Unit

    Received: 01 Mar 2024; Accepted: 30 Jul 2024.

    Copyright: © 2024 Filho, Joelsons and Bravim. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Roberto R. Filho, Faculdade Israelita de Ciências da Saúde Albert Einstein Hospital Israelita Albert Einstein, São Paulo, Brazil

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.