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Editorial (Dr SS Agarwal, Dr K K Aggarwal)
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6th  December 2016
All About extra corporeal membrane oxygenation

What is ECMO?
ECMO or extra corporeal membrane oxygenation is a type of prolonged mechanical cardiopulmonary support that is usually delivered in the intensive care unit.  ECMO is performed by clinicians with training and experience in its initiation, maintenance, and discontinuation.

How does it function?
During ECMO, blood is drained from the native vascular system, circulated outside the body by a mechanical pump and re-infused into the circulation. While outside the body, the blood passes through an oxygenator and heat exchanger. In the oxygenator, hemoglobin becomes fully saturated with oxygen, while carbon dioxide (CO2) is removed. Oxygenation is determined by flow rate, whereas CO2 elimination can be controlled by adjusting the rate of countercurrent gas flow through the oxygenator.

What are the types of ECMO?
ECMO can be venovenous (VV) or venoarterial (VA):
  • In VV ECMO, blood is extracted from the vena cava or right atrium and returned to the right atrium. It provides respiratory support, but the patient is dependent upon his/her own hemodynamics.
  • In VA ECMO, blood is extracted from the right atrium and returned to the arterial system, bypassing the heart and lungs. It provides both respiratory and hemodynamic support. The additional benefit of hemodynamic support comes with additional risks.
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Prevent arthritis from slowing you down
 
Arthritis is a chronic life-long condition and warrants constant care and management.
 
New Delhi, Dec 5, 2016: Arthritis affects over 180 million people in India, which is roughly 15%. It is a major cause of disability and poor quality of life. Lifestyle and preventive health measures can help you find your pace while living with arthritis.
 
Arthritis is a major cause of disability worldwide. If left untreated and unmanaged, it can lead to- chronic pain, stiffness, swelling, leg deformities and significantly reduced range of mobility.

Padma Shri Awardee Dr. K.K Aggarwal, President Heart Care Foundation of India (HCFI) and National President Elect Indian Medical Association (IMA), stated that, "Living a healthy lifestyle with certain basic preventive measures can help you prevent arthritis with advancing age. These measures can also help reduce the degree or severity of an existing condition.
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