Extracorporeal Membrane Oxygenation Program (ECMO) in NJ | Hackensack Meridian Health

Extracorporeal Membrane Oxygenation (ECMO) Program

At Hackensack Meridian Health, our Extracorporeal Membrane Oxygenation Program (ECMO) provides leading-edge, lifesaving heart and lung support for critically ill patients. ECMO is available at Hackensack University Medical Center and Jersey Shore University Medical Center.

As one of the most comprehensive ECMO programs in the region, we are committed to advancing care through clinical excellence, cross collaboration, and innovation.

What is ECMO? 

ECMO  is a life support treatment that takes over the work of the heart and lungs when they are too sick or injured to function independently. The treatment uses a machine to pump blood out of the body, add oxygen, remove carbon dioxide, and then return the blood to the patient. This gives the heart and lungs time to rest and heal. 

ECMO is used in critical care situations, such as severe lung failure, heart failure, or after cardiac arrest.

Conditions We Treat With ECMO

ECMO is used to treat various conditions that affect heart and lung function. Some of the most common conditions we use ECMO to treat include:

  • Acute Respiratory Distress Syndrome (ARDS): This life-threatening condition occurs when inflammation and fluid in the lungs cause low oxygen levels. 
  • Acute hypoxemic respiratory failure: Those with acute hypoxemic respiratory failure have low blood oxygen levels because their lungs can’t provide enough oxygen to the body. It is caused by lung conditions such as pneumonia or COPD. 
  • Acute hypercapnic respiratory failure: This condition leads to dangerously high levels of carbon dioxide in the blood and can also cause low blood oxygen. It can be caused by COPD, pneumonia and conditions affecting the nerves and muscles. 
  • Cardiogenic shock: This life-threatening condition occurs when the heart can’t pump enough blood to meet the body’s demand. It can result from a heart attack or other heart conditions. 
  • Refractory cardiac arrest (eCPR): Refractory cardiac arrest occurs when your heart stops beating despite resuscitative efforts such as CPR and the use of a defibrillator. 
  • Massive pulmonary embolism: This dangerous condition occurs when a blood clot blocks pulmonary arteries and blood flow to the lungs.
  • Myocarditis or post-cardiotomy syndrome: Both conditions involve inflammation of the heart. Myocarditis is caused by viral infections and autoimmune diseases, and post-cardiotomy syndrome is caused by heart trauma and surgery. 
  • Bridge to heart and/or lung transplant or a bridge to a durable mechanical support: In some cases, ECMO may be used for life-sustaining purposes before a heart and lung transplant or implantation of a long-term device to support heart function. 
 

Frequently Asked Questions About ECMO

 
Certain conditions can result in heart and lung failure despite medical management. ECMO can temporarily support the heart and lungs while they rest and recover, but it is not a cure. It allows the body time and opportunity to heal itself. 
ECMO is performed in specialized centers with the expertise and resources to manage the therapy. ECMO is located at Hackensack Meridian Hackensack University Medical Center and Hackensack Meridian Jersey Shore University Medical Center within the Cardiothoracic Intensive Care Unit (CTICU) and Medical Intensive Care Unit (MICU).
ECMO is not a cure. It is a life-sustaining therapy that provides temporary support while the underlying condition is being treated. 

While on ECMO support in the intensive care unit, it is most likely that your loved one will be on a breathing machine and sedated to make them comfortable. You will also see lots of tubes, monitors, and machines attached to or surrounding your loved one as part of the intensive care monitoring. 

The length of ECMO support can vary from a few hours to months. 

While on ECMO, patients are placed in the intensive care unit and cared for by a highly trained team of ECMO clinicians, which includes surgeons, critical care intensivists, heart failure specialists, pulmonologists, advanced practice providers, ICU nurses and others. Other specialty consults may also be involved to provide the best care possible.  
ECMO is a complex procedure that comes with potential risks and complications such as bleeding, risk of stroke and blood clot formation, infection, kidney failure, risk of poor circulation to the accessed limb and risk of mechanical problems from the ECMO machine.
Family plays an important role in the care of ECMO patients. We want you to spend time with your loved one. The team can show you safe ways to be close to the patient and suggest the best times to visit. You may participate in the daily rounds to ask questions and discuss goals of care as you wish. If you have any questions or concerns, our caring staff of highly trained professionals will gladly partner with you to address these concerns.  
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