MC Marcinho uses therapy known as ECMO, a kind of artificial lung; understand how it works

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Singer is admitted to the ICU and his lungs are unable to absorb oxygen. Therefore, it was necessary to ‘replace’ the organ. ECMO acts like an artificial lung and oxygenates the blood outside the body. ECMO: understand how the therapy used in MC Marcinho works One of the biggest names in the history of funk carioca, Marcio André Nepomuceno Garcia, known as MC Marcinho, has been in the ICU of the Copa D’Or Hospital since Monday (10th) after a cardiorespiratory arrest . According to the medical bulletin released this Tuesday (11), it was necessary to use a therapy known as ECMO – Extracorporeal Membrane Oxygenation, in translation. That is, the patient’s oxygenation will be done by a membrane outside the body. ECMO was widely used by Covid patients, such as actor Paulo Gustavo, who died in 2021. Although the artist could not resist the long hospitalization, the therapy saved dozens of other patients (see reports). How Ecmo works ECMO removes and filters blood Reproduction/TV Globo In some patients, the lung becomes unable to absorb oxygen. Therefore, it is necessary to “replace” the organ. This is where ECMO comes in. The equipment acts like an artificial lung and oxygenates the blood outside the body. According to doctors, ECMO allows the weakened lung to rest while the device returns artificially oxygenated blood to the body. Therapy works as a bridge to recovery. When the patient is on the machine, he needs to be sedated. “The lung becomes the membrane. We control carbon dioxide and oxygen through this membrane. We leave the lung still to deflate”, explained cardiorespiratory and intensive care physiotherapist Fábio Rodrigues. See testimonials from people recovered from Covid who underwent the same therapy as Paulo Gustavo: ECMO Different from the mechanical ventilator Despite being similar, mechanical ventilation is not the same as ECMO. The ventilator provides oxygen, promotes gas exchange and provides pressure for the lung to remain open. It does not replace the lung. He will favor physiotherapy and recovery of the lung. However, support has a limit, and when the ventilator cannot make the injured lung work well and there is no more oxygen exchange, ECMO is indicated. Types of therapy Therapy has existed for many years and can be of two types: Veno-venous: used in patients with respiratory failure. Blood is drawn from a central vein, passes through the extracorporeal membrane where gas exchange is performed, and returns through a central vein. This is the therapy used in cases of Covid-19 and also in actor Paulo Gustavo. Veno-arterial: used in cases of heart failure. It provides both respiratory and circulatory support. Blood returns to the arterial system and provides hemodynamic support in addition to ventilatory support. For all ages and without deadline The equipment can be used on people of all ages, from newborns to the elderly, and is available both in the private and public network, in referral hospitals. Experts explain that there is no deadline for the patient to remain on ECMO. Removal is done if there is an excess of clot in the circuit, excessive bleeding or if the lung improves. See when use is contraindicated: Multiple organ failure Irreversible pulmonary or cardiovascular diseases Patients who spent a long time on ventilation and already have lung damage Severe coagulopathy and/or hemorrhage Other congenital anomalies

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