Pediatric Extracorporeal Membrane Oxygenation

Christopher Loren Jenks; Lakshmi Raman; Heidi J. Dalton

doi:10.1016/j.ccc.2017.06.005

Pediatric Extracorporeal Membrane Oxygenation

Christopher Loren Jenks, Lakshmi Raman, Heidi J. Dalton

Research output: Contribution to journal › Article › peer-review

71 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 language	English (US)
Journal	Critical Care Clinics
DOIs	https://doi.org/10.1016/j.ccc.2017.06.005
State	Accepted/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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10.1016/j.ccc.2017.06.005

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title = "Pediatric Extracorporeal Membrane Oxygenation",

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%.",

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doi = "10.1016/j.ccc.2017.06.005",

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AU - Raman, Lakshmi

AU - Dalton, Heidi J.

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AB - 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%.

KW - Centrifugal technology

KW - Fluid overload

KW - Nutrition

KW - Pediatric extracorporeal life support

KW - Pediatric extracorporeal membrane oxygenation

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ER -

Pediatric Extracorporeal Membrane Oxygenation

Abstract

Keywords

ASJC Scopus subject areas

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