Veno-arterial (V-A): Blood is removed from the veins of the body and oxygenated. Pressurized oxygenated blood is returned to the body via the arterial system thus replacing the function of the heart and lungs. This is also known as cardiopulmonary bypass (CPB).
Veno-venous (V-V): Used in isolated respiratory failure, dark blood is removed from the venous circulation, oxygenated and returned to the venous system closer to the heart. This ECMO mode replaced or supplements the function of the lungs and does not provide cardiac support. This mode of support is also known as extracorporeal lung support (ECLA) or extracorporeal CO2 removal (ECCOR).
Within two to three days after ECMO initiation, the team will coordinate a family meeting to discuss the plan of care and outline the actions needed for the duration of ECMO support.
For assistance in facilitating transfers to Ronald Reagan UCLA Medical Center, contact the UCLA Health Transfer Center at 310-825-0909