Extracorporeal Membrane Oxygenation in Neonates

Eric W. Etchill, Alejandro V. Garcia

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Extracorporeal membrane oxygenation (ECMO) is a mechanical support system for children with cardiopulmonary failure or isolated respiratory failure. ECMO allows for cardiovascular support, oxygen delivery, and perfusion. Neonates who fail maximal medical management for congenital diaphragmatic hernias, congenital cardiac conditions, meconium aspiration, and persistent pulmonary hypertension may be supported on ECMO until the underlying disease process improves. Despite the risks inherent to ECMO, survival of neonates with favorable neurologic outcomes continues to improve.

Original languageEnglish (US)
Title of host publicationPrinciples of Neonatology
PublisherElsevier
Pages715-719
Number of pages5
ISBN (Electronic)9780323694155
DOIs
StatePublished - Jan 1 2023

Keywords

  • Acute neurologic injury
  • Cannulation site bleeding
  • Cardiac arrest
  • Cardiac failure
  • Cardiogenic shock
  • Cardiomyopathy
  • Carotid artery
  • Clinical seizures
  • Congenital cardiac conditions
  • Congenital diaphragmatic hernia
  • Cyanotic defects with decreased or shunted pulmonary flow
  • Disseminated intravascular coagulation
  • Dual lumen single-stage cannulas
  • Electroencephalographic seizures
  • ELSO database
  • Extracorporeal cardiopulmonary resuscitation
  • Extracorporeal gas exchange
  • Extracorporeal membrane cardiopulmonary resuscitation (ECPR)
  • Extracorporeal membrane oxygenation (ECMO)
  • Hemolysis
  • Hypoplastic left heart syndrome
  • Hypoxic-ischemic injury
  • Inotropic medications
  • Internal jugular vein
  • Intracranial hemorrhage
  • Intraventricular hemorrhage
  • Ischemic stroke
  • Lactatemia
  • Left or right ventricular outflow tract obstruction
  • Lethal chromosomal disorders
  • Meconium aspiration
  • Meconium aspiration syndrome
  • Myocarditis
  • Oxygen index
  • Oxygenation index
  • Oxygenator clots
  • Peak inspiratory pressures
  • Persistent metabolic acidosis
  • Persistent pulmonary hypertension
  • Postcardiotomy shock
  • Preductal oxygen saturations
  • Pulmonary hemorrhage
  • Refractory hypotension
  • Respiratory failure
  • Septal defects
  • Surgical site bleeding
  • Uncontrolled bleeding
  • Vasopressors
  • Venoarterial ECMO
  • Venovenous ECMO
  • Ventricular dysfunction

ASJC Scopus subject areas

  • General Medicine

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