Extracorporeal Membrane Oxygenation for Newborn Respiratory Failure

Bartlett, Robert H.; Andrews, Alice French; Toomasian, John M; Haiduc, Nick J.; Gazzaniga, Alan B.

doi:10.1097/00006254-198304000-00011

Cited by 51 publications

(73 citation statements)

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“…Bartlett first used the ECMO device on a neonate and named it "Esperanza", meaning "Hope" (Bartlett et al, 1977). In 1980 Pollock reported the first use of an intraaortic balloon pump in children (Pollock et al, 1980).…”

Section: History Of Mechanical Support Device In Pediatricsmentioning

confidence: 99%

“…ECMO is more advantageous than other devices in terms of its usage for patients with bi-ventricular failure, respiratory insufficiency and pulmonary hypertension. Discharge survival rate of a short term ECMO treated patient is 40-80% (Bartlett et al, 1977). If the recovery time is prolonged, risk of infection increases.…”

Section: The Selection Of Mechanical Support Devicesmentioning

confidence: 99%

“…There are 4 important complications about the usage of cardiac ECMO by ELSO (Extracorporeal Life Support Organization) (Bartlett et al, 1977):…”

Section: Mechanical Support Complicationsmentioning

confidence: 99%

See 2 more Smart Citations

Ventricular Assist Devices for Pediatric Heart Disease

Yıldız¹

2011

New Aspects of Ventricular Assist Devices

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Section: History Of Mechanical Support Device In Pediatricsmentioning

confidence: 99%

Section: The Selection Of Mechanical Support Devicesmentioning

confidence: 99%

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Ventricular Assist Devices for Pediatric Heart Disease

Yıldız¹

2011

New Aspects of Ventricular Assist Devices

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“…ECMO provides prolonged cardiopulmonary bypass while allowing the lungs to rest using minimal ventilator settings (1). A trial in critically ill neonates conferred a survival advantage of ECMO over conventional management -except in cases of congenital diaphragmatic hernia (CDH) -without a concomitant increase in severe disability (2).…”

Section: Introductionmentioning

confidence: 99%

Sensorineural Hearing Loss and Language Development Following Neonatal Extracorporeal Membrane Oxygenation

Hondel

Madderom

Goedegebure

et al. 2013

Pediatric Critical Care Medicine

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OBJECTIVE:To determine the prevalence of hearing loss in school-age children who have undergone neonatal extracorporeal membrane oxygenation (ECMO) treatment and to identify any effects of hearing loss on speech-and language development. DESIGN:Prospective longitudinal follow-up study within the framework of a structured post-ECMO follow-up program.SETTING: Outpatient clinic of a level III university hospital. RESULTS:Tone audiometry was performed by standardized protocol in 136 children aged 5 to 12 years. Hearing loss was considered clinically significant when >20dB. Hearing was normal in 75.7% of children. Five children (3.7%) had bilateral sensorineural or combined hearing loss; 3 of them received special audiological care (2.2% of total sample). Of the 24 children with congenital diaphragmatic hernia, 19 (79.2%) had normal hearing; and only 2 (8.3%) had mild SNHL, unilateral in one of them.Follow-up at 24 months of age had shown normal verbal and non-verbal developmental scores.Language development and intelligence median (range) scores at 5 years of age were also normal: receptive language development 104 (55-133); syntactical development 104 (68-132); and lexical development 101 (50-141) for 89 children; intelligence quotient was 104 (68-132) in 106 children.Scores did not differ between those with normal hearing, and those with mild hearing loss, or those with moderate to severe hearing loss (p=0. 800, p=0.639, p=0.876, and p=0.886, for the respective developmental tests). CONCLUSIONS:We found normal language development and intelligence in a cohort of neonatal ECMO survivors. The prevalence of bilateral sensorineural hearing loss was in accordance with that of larger series in the United States -which exceeds the prevalence in the normal population.3

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“…ECMO (Extracorporeal membrane oxygenation) ou ECLS (Extracorporeal Life Support) são termos empregados para descrever métodos de suporte extracorpóreo prolongado utilizados especialmente em recém nascidos portadores de insuficiência respiratória aguda que não respondem a formas "convencionais" de tratamento 1 . Mais de cem centros pediátricos no mundo dispõem rotineiramente dessa tecnologia, tendo tratado mais de 19.000 crianças até o momento.…”

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Circulação extracorpórea por membrana (ECMO) em recém-nascido com insuficiência respiratória por síndrome de aspiração meconial: efeitos da administração de surfactante exógeno

Maksoud‐Filho¹,

Diniz²,

Ceccon³

et al. 2001

J. Pediatr. (Rio J.)

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ResumoObjetivos: apresentar a evolução clínica de recém-nascido portador de insuficiência respiratória grave neonatal secundária à sindrome de aspiração meconial tratado por circulação extracorpórea por membrana, ou, conforme o termo consagrado em língua inglesa, ECMO (Extracorporeal Membrane Oxygenation), o efeito do uso de surfactante exógeno neste caso e os custos do procedimento.Método AbstractObjectives: to present the clinical outcome of a newborn with severe respiratory distress secondary to meconium aspiration syndrome and treated by extracorporeal membrane oxygenation (ECMO); and to present the effect of the use of exogenous surfactant in this case and the cost of the procedure.Methods: case report of a newborn with meconium aspiration syndrome and treated at the neonatal ICU of the Instituto da Criança Prof. Pedro de Alcantara, Hospital das Clínicas of the Universidade de São Paulo.Results: ECMO was carried out for 5 days with no clinical or mechanical complications. On the 4 th day of ECMO, we administered porcine exogenous surfactant; a significant improvement in lung compliance was observed and the newborn was decannulated shortly after that. Treatment costs were compatible with the situation of healthcare in Brazil for treatment of critically ill newborn patients.Conclusions: ECMO is indicated in cases of neonatal respiratory distress not responding to other treatments. The technique should be made available in neonatal Intensive Care Units (ICUs) of tertiary hospitals according to well-established protocols. The use of exogenous surfactant apparently allowed for earlier decannulation of the patient and should be considered in similar cases. The treatment costs do justify the organizing of ECMO teams in this type of ICUs.

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Extracorporeal Membrane Oxygenation for Newborn Respiratory Failure

Cited by 51 publications

References 0 publications

Ventricular Assist Devices for Pediatric Heart Disease

Ventricular Assist Devices for Pediatric Heart Disease

Sensorineural Hearing Loss and Language Development Following Neonatal Extracorporeal Membrane Oxygenation

Circulação extracorpórea por membrana (ECMO) em recém-nascido com insuficiência respiratória por síndrome de aspiração meconial: efeitos da administração de surfactante exógeno

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