ECMO Programme (Extra Corporeal Membrane Oxygenation)
ECMO is an advanced life-support system for patients with failing heart and lungs. The system acts as an artificial heart or lung during therapy allowing the patient’s organs to rest while natural healing of the affected area takes place.
ECMO can help adults, children and even neonatal patients in situations where:
- The heart cannot pump enough blood to the body
- The lungs cannot provide enough oxygen to the body, even when given extra oxygen
- The lungs cannot get rid of carbon dioxide, even with the help of a mechanical ventilator
- Refractory cardiogenic shock
- Refractory cardiac arrest
- Decompensated cardiomyopathy
- Severe myocarditis
- Difficulty in weaning after cardiopulmonary bypass
- Respiratory distress syndrome
- Meconium aspiration syndrome
- Congenital diaphragmatic hernia
- Severe pneumonia of any cause
- Respiratory failure (ARDS or non ARDS)
How ECMO WorksThe ECMO technique involves channeling the patient’s blood into a roller pump that serves as the patient’s “heart” throughout treatment. The machine is connected to the patient through plastic tubes (cannula) placed in large veins and arteries in the legs, neck or chest.
The pump sends the blood through an oxygenator, which serves as an artificial lung, infusing the blood with oxygen and removing carbon dioxide and returning it to the patient.
During this treatment, the patient’s heart continues to beat, but its work is made easier because the machine does much of the pumping. Throughout ECMO, the patient is at the center of a highly coordinated team of medical experts and receives around-the-clock care.
The length of time a patient remains on therapy depends on the diagnosis and the patient’s individual response. Some diseases or injuries recover quickly, and patients only need ECMO for a few hours. Other conditions may take longer to get better, in which case the patient may need support for several days to weeks.
Our TeamOur very experienced team of doctors, perfusion scientists and nurses have managed many patients on ECMO and saved their lives.
The hospital has two ECMO machines, one of them being the most advanced. CARDIOHELP- which, being very small and compact, can be carried by hand and is used to transport patients via road or by air. The ECMO team at Health City Cayman Islands is capable of transporting patients on ECMO by air after instituting ECMO at any location.
Health City ECMO OutcomesDuring the last two and half years, Health City has supported ten patients with ECMO, six children and four adults. Eight had cardiac failure and two had respiratory failure.
Out of the ten patients, nine patients could be weaned off from ECMO (90%) and eight of them were discharged home without any disability (80%).These results are far better than the global average result published by the ELSO (Extracorporeal Life Support Organisation) registry.
ECMO Outcomes - International vs HCCISee tables below for average international outcomes:
The Health City Cayman Islands ECMO teamDr. Binoy Chattuparambil, Director, ECMO program
E-mail: [email protected]
Phone: +1 (345) 525-2060
Dr. Dhruva Krishnan, Chief Coordinator,
E-mail: [email protected]lthcity.ky
Phone: +1 (345) 525-2056
Dr. Sumit Modi, Co-director, ECMO program
E-mail: [email protected]
Phone: +1 (345) 525-2124
Mr. Lessley Christudos & Mr. Ravindra Deshpande,
Coordinators ECMO program
Mr. Mevin Varghese & ICU nurses
Health City is proud to offer this highly specialized service to critical patients in Latin America and the Caribbean at an affordable rate.