ECMO - Modified Heart-Lung Machine | Max Healthcare
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Month Red Autoclave(Infected Plastic Waste) Yellow- Incineration(AnatomicalWaste & Soiled Waste) Blue Autoclave (Glass- Bottles) Black Cytotoxic- Incineration( Cytotoxic Contaminated Items) White- Sharp Total Bags Total Weight(In KG's)
  No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's)    
Apr-17 924 2963.50 954 2994.10 239 1017.30 103 279.20 1645 606.40 3865 7861.00
May-17 1175 4624.12 1028 3498.40 276 1524.34 87 195.01 1803 823.85 4369 10665.71
Jun-17 1060 4511.45 902 2886.66 293 1324.05 76 194.00 2057 1100.69 4388 10016.85
Jul-17                     0 0.00
Aug-17                     0 0.00
Sep-17                     0 0.00
Oct-17                     0 0.00
Nov-17                     0 0.00
Dec-17                     0 0.00
Jan-18                     0 0.00
Feb-18                     0 0.00
Mar-18                     0 0.00
YTD 3159 12099.065 2884 9379.155 808 3865.69 266 668.705 5505 2530.94 12622 28543.555

New Stent Prices

Sr. No. Type Name of Manufacturer Price to Patient (Including local taxes per NPPA order) for Delhi, UP & Uttarakhand Price to Patient (Including local taxes per NPPA order) for Haryana Price to Patient (Including local taxes per NPPA order) for Punjab
1 Xience Prime Drug Eluting Stent Abbott Healthcare Pvt.Ltd 24999 24999 24999.00
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6 Supraflex Sirolimus Eluting Stent Sahajanand Medical Technologies Pvt Ltd 31080 31080 31635.00
7 Yukon Choice Flex Stent Translumina Therapeutics LLP 31080 31154 31635.00
8 Cobal+C Mini Stent Relisys Medical Devices Ltd 7623 7641 7759

ECMO

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ECMO

Overview

ECMO (extracorporeal membrane oxygenation) is a complex system, similar to the heart-lung bypass machine used in open heart surgery. When a patient is connected to ECMO, blood flows through tubing to an artificial lung in the machine, which adds oxygen and takes out carbon dioxide. Thereafter, the blood is warmed as per the body temperature and pumped back in the body.

How can ECMO help in recovery?

ECMO pumps and oxygenates the impure blood outside the body, allowing the heart and lungs to rest. The impure blood then passes through the ECMO machine and purifies it. Thereafter, it sends the blood back to the body through complex system of channels.

When is ECMO used?

There are two types of ECMO- 

VA ECMO is connected both to a vein and an artery and is used when there are problems with both heart and lungs.

The VV-ECMO is connected to one or more veins, usually near the heart and is used when the problem is only in the lungs. This machine is primarily used for:

-Patients recovering from heart failure, or lung failure or heart surgery.

- As a bridge option to further treatment, i.e. when doctors want to assess the state of other organs such as the kidneys or brain before performing heart or lung surgery.

- Providing support during high-risk procedures in the cardiac catheterization lab after massive heart attack.

- As a bridge to a heart assist device, such as left ventricular assist device (LVAD).

- As a bridge for patients awaiting lung transplant. The ECMO helps keep tissues well oxygenated, which makes the patient a better candidate for transplant.

-Severe lung failure following Swine Flu infection (H1N1)

- Severe lung failure following Dengue fever.

Who are the right candidates for ECMO therapy?

Acute Respiratory Distress Syndrome (ARDS) secondary to pneumonia, aspiration, severe air leak

Refractory Septic / Cardiogenic Shock

Myocarditis - viral, scorpion sting

Post Arrest shock

Meconium Aspiration

Congenital Diaphragmatic Hernia

Persistent Pulmonary Hypertension

Poisoning

 

Results of ECMO 

Studies have shown upto 70% success rate with ECMO therapy; however in most of the cases the results depend on how serious is the lung injury at the time of starting this therapy.