Pediatric Extracorporeal Membrane Oxygenation

Christopher Loren Jenks, Lakshmi Raman, Heidi J. Dalton

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

Extracorporeal life support is a modified form of cardiopulmonary bypass. Experience in extracorporeal membrane oxygenation (ECMO) has come largely from the neonatal population. Most centers have transitioned the ECMO pumps from roller pumps to centrifugal technology. Modes of support include venovenous for respiratory support and venoarterial for cardiac support. "Awake" ECMO is the trend with extubation and tracheostomy on the rise. Fluid overload is common and managed with diuretics or hemofiltration. Nutrition is important and provided enterally or via total parenteral nutrition. Overall survival for pediatric cardiac and respiratory ECMO has remained at approximately 50% to 60%.

Original languageEnglish (US)
JournalCritical Care Clinics
DOIs
StateAccepted/In press - 2017

Keywords

  • Centrifugal technology
  • Fluid overload
  • Nutrition
  • Pediatric extracorporeal life support
  • Pediatric extracorporeal membrane oxygenation

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

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