Extracorporeal membrane oxygenation in the management of respiratory failure in the newborn.
نویسندگان
چکیده
The history of ECMO and the development of its present-day use is discussed. The results of the National ECMO Registry and the first 100 patients at Children's Hospital National Medical Center are presented. Future developments and directions of ECMO are presented.
منابع مشابه
Economic evaluation and randomised controlled trial of extracorporeal membrane oxygenation: UK collaborative trial. The Extracorporeal Membrane Oxygenation Economics Working Group.
OBJECTIVE To compare the resource implications and short term outcomes of extracorporeal membrane oxygenation and conventional management for term babies with severe respiratory failure. DESIGN Cost effectiveness evaluation alongside a randomised controlled trial. SETTING 55 approved recruiting hospitals in the United Kingdom. These hospitals provided conventional management, but infants ra...
متن کاملCESAR: conventional ventilatory support vs extracorporeal membrane oxygenation for severe adult respiratory failure
BACKGROUND An estimated 350 adults develop severe, but potentially reversible respiratory failure in the UK annually. Current management uses intermittent positive pressure ventilation, but barotrauma, volutrauma and oxygen toxicity can prevent lung recovery. An alternative treatment, extracorporeal membrane oxygenation, uses cardio-pulmonary bypass technology to temporarily provide gas exchang...
متن کاملExtracorporeal Membrane Oxygenation in the NICU.
Extracorporeal membrane oxygenation (ECMO) was developed for adults but has been used in neonates as a life-saving rescue therapy for infants with respiratory failure and/or cardiac collapse as a result of congenital diaphragmatic hernia, meconium aspiration syndrome, persistent pulmonary hypertension, or systemic sepsis. ECMO has been proven to increase the survival rate for these diseases. Th...
متن کاملDevelopmental outcome in newborn infants treated for acute respiratory failure with extracorporeal membrane oxygenation: present experience.
OBJECTIVE To describe the later health status of newborn infants who received extracorporeal membrane oxygenation (ECMO) for acute respiratory failure in the era after the UK ECMO trial. DESIGN Prospective follow up study of newborn infants who received ECMO at a single centre between January 1997 and January 2001. SETTING Departments of ECMO and Paediatric Intensive Care, University Hospit...
متن کاملExtracorporeal Membrane Oxygenation in Acute Respiratory Insufficiency in Neonates: A Review of the Literature
Extracorporeal gas exchange was primarily developed for the intraoperative support of patients requiring open heart surgery. A second application has been attempted, the prolonged support of patients with severe pulmonary disease who fail to respond to conventional mechanical ventilation. The purpose of this paper is to review the use of prolonged extracorporeal gas exchange for patients with a...
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عنوان ژورنال:
- Clinics in perinatology
دوره 14 3 شماره
صفحات -
تاریخ انتشار 1987