RT Journal Article SR Electronic T1 Extracorporeal membrane oxygenation in adults: A practical guide for internists JF Cleveland Clinic Journal of Medicine JO Cleve Clin J Med FD Cleveland Clinic SP 373 OP 384 DO 10.3949/ccjm.83a.15021 VO 83 IS 5 A1 Tejaswini Kulkarni A1 Nirmal S. Sharma A1 Enrique Diaz-Guzman YR 2016 UL http://www.ccjm.org/content/83/5/373.abstract AB The use of extracorporeal membrane oxygenation (ECMO) in adults has rapidly increased as the technology has evolved, although there is little definitive evidence that it is beneficial in this group. ECMO is now being used in acute respiratory distress syndrome (and was used extensively for this indication during the influenza H1N1 pandemic), as a bridge to lung or heart transplant, and in postcardiac arrest patients. We review the current evidence and indications for ECMO, focusing on its principles and practical aspects in adult patients with respiratory or cardiac failure.