eMedicine Specialties > Pediatrics: Cardiac Disease and Critical Care Medicine > Cardiothoracic Surgery

Extracorporeal Membrane Oxygenation: Multimedia

Author: Edwin Rodriguez-Cruz, MD, Assistant Professor, Department of Pediatrics, San Juan Bautista Medical School and Medical Center; Consulting Interventional/Clinical Pediatric Cardiologist, Department of Pediatrics, Hospital El Maestro and San Juan Bautista Medical Center; Consulting Interventional/Clinical Pediatric Cardiologist, Department of Cardiology, Cardiovascular Center of Puerto Rico and the Caribbean and Veterans Affairs Hospital and Medical Center of Puerto Rico
Coauthor(s): Henry Walters III, MD, Associate Professor of Surgery, Wayne State University School of Medicine; Chief, Department of Surgery, Division of Cardiovascular Surgery, Children's Hospital of Michigan; Sanjeev Aggarwal, MD, MBBS, Staff Physician, Department of Pediatrics, Children's Hospital of Michigan
Contributor Information and Disclosures

Updated: Mar 18, 2009

Multimedia

Extracorporeal membrane oxygenation (ECMO) system.Media file 1: Extracorporeal membrane oxygenation (ECMO) system.
Extracorporeal membrane oxygenation (ECMO) system.

Extracorporeal membrane oxygenation (ECMO) system.

More on Extracorporeal Membrane Oxygenation

References

References

  1. Gibbon JH Jr. Application of a mechanical heart and lung apparatus to cardiac surgery. Minn Med. 1954;37:180-5.

  2. Lillehei CW. A personalized history of extracorporeal circulation. Trans Am Soc Artif Intern Organs. 1982;28:5-16. [Medline].

  3. Kirklin JW, Donald DE, Harshbarger HG. Studies in extracorporeal circulation I: applicability of Gibbon type pump oxygenator to human intracardiac surgery: 40 cases. Ann Surg. 1956;144:2-4.

  4. Rashkind WJ, Freeman A, Klein D. Evaluation of a disposable plastic, low volume, pumpless oxygenator as a lung substitute. J Pediatr. 1965;66:94-102.

  5. Dorson W Jr, Baker E, Cohen ML, et al. A perfusion system for infants. Trans Am Soc Artif Intern Organs. 1969;15:155-60. [Medline].

  6. Baffes TG, Fridman JL, Bicoff JP, Whitehill JL. Extracorporeal circulation for support of palliative cardiac surgery in infants. Ann Thorac Surg. Oct 1970;10(4):354-63. [Medline].

  7. Bartlett RH, Gazzaniga AB, Jefferies MR, et al. Extracorporeal membrane oxygenation (ECMO) cardiopulmonary support in infancy. Trans Am Soc Artif Intern Organs. 1976;22:80-93. [Medline].

  8. Smith IJ, Sidebotham DA, McGeorge AD, Dorman EB, Wilsher ML, Kolbe J. Use of extracorporeal membrane oxygenation during resection of tracheal papillomatosis. Anesthesiology. Feb 2009;110(2):427-9. [Medline].

  9. Segura S, Cambra FJ, Moreno J, et al. [ECMO: Experience in paediatrics.]. An Pediatr (Barc). Jan 2009;70(1):12-9. [Medline].

  10. Fisher JC, Stolar CJ, Cowles RA. Evaluating cannulation strategies used during second courses of extracorporeal membrane oxygenation in a large cohort of pediatric patients. J Pediatr Surg. Jan 2009;44(1):94-9. [Medline].

  11. Glass P, Wagner AE, Papero PH, et al. Neurodevelopmental status at age five years of neonates treated with extracorporeal membrane oxygenation. J Pediatr. Sep 1995;127(3):447-57. [Medline].

  12. Allan CK, Thiagarajan RR, Armsby LR, et al. Emergent use of extracorporeal membrane oxygenation during pediatric cardiac catheterization. Pediatr Crit Care Med. May 2006;7(3):212-219. [Medline].

  13. Bartlett RH, Gazzaniga AB, Toomasian J, et al. Extracorporeal membrane oxygenation (ECMO) in neonatal respiratory failure. 100 cases. Ann Surg. Sep 1986;204(3):236-45. [Medline].

  14. Beck R, Anderson KD, Pearson GD, et al. Criteria for extracorporeal membrane oxygenation in a population of infants with persistent pulmonary hypertension of the newborn. J Pediatr Surg. Apr 1986;21(4):297-302. [Medline].

  15. Brown KL, Wray J, Wood TL, Mc Mahon AM, Burch M, Cairns J. Cost utility evaluation of extracorporeal membrane oxygenation as a bridge to transplant for children with end-stage heart failure due to dilated cardiomyopathy. J Heart Lung Transplant. Jan 2009;28(1):32-8. [Medline].

  16. Extracorporeal Life Support Organization. ECMO Registry Report. Ann Arbor, MI: University of Michigan; 1991.

  17. Groom RC, Froebe S, Martin J, et al. Update on pediatric perfusion practice in North America: 2005 survey. J Extra Corpor Technol. Dec 2005;37(4):343-50. [Medline].

  18. Herbst D, Najm HK, Jha KN. Long-term extracorporeal circulation management: the role of low- and high-range heparin ACT tests. J Extra Corpor Technol. Dec 2008;40(4):271-4. [Medline].

  19. Krummel TM, Greenfield LJ, Kirkpatrick BV, et al. Alveolar-arterial oxygen gradients versus the Neonatal Pulmonary Insufficiency Index for prediction of mortality in ECMO candidates. J Pediatr Surg. Aug 1984;19(4):380-4. [Medline].

  20. Moler FW, Custer JR, Bartlett RH, et al. Extracorporeal life support for severe pediatric respiratory failure: an updated experience 1991-1993. J Pediatr. Jun 1994;124(6):875-80. [Medline].

  21. Schreur A, Niles S, Ploessl J. Use of the CDI blood parameter monitoring system 500 for continuous blood gas measurement during extracorporeal membrane oxygenation simulation. J Extra Corpor Technol. Dec 2005;37(4):377-80. [Medline].

  22. Upp JR Jr, Bush PE, Zwischenberger JB. Complications of neonatal extracorporeal membrane oxygenation. Perfusion. 1994;9(4):241-56. [Medline].

  23. Waitzer E, Riley SP, Perreault T, Shevell MI. Neurologic Outcome at School Entry for Newborns Treated With Extracorporeal Membrane Oxygenation for Noncardiac Indications. J Child Neurol. Feb 5 2009;[Medline].

  24. Walters HL 3rd, Hakimi M, Rice MD, et al. Pediatric cardiac surgical ECMO: multivariate analysis of risk factors for hospital death. Ann Thorac Surg. Aug 1995;60(2):329-36; discussion 336-7. [Medline].

  25. Zwischenberger JB, Nguyen TT, Upp JR Jr, et al. Complications of neonatal extracorporeal membrane oxygenation. Collective experience from the Extracorporeal Life Support Organization. J Thorac Cardiovasc Surg. Mar 1994;107(3):838-48; discussion 848-9. [Medline].

Further Reading

Keywords

extracorporeal membrane oxygenation, ECMO, extracorporeal life support, ECLS, oxygenation support, venoarterial bypass, venovenous bypass, oxygenator, cardiopulmonary bypass, treatment, congenital heart defects, respiratory failure, respiratory distress, heart failure, cardiac conditions, cardiac failure, life support, cannulation, cardiac support, primary pulmonary hypertension of the newborn, PPHN, idiopathic PPHN, meconium aspiration syndrome, respiratory distress syndrome, sepsis, asphyxia, congenital diaphragmatic hernia, CDH, pulmonary vasoreactive crisis, hypoxemia, cardiac transplantation, cardiomyopathy, renal failure, myocarditis, burns, metabolic acidosis, metabolic alkalosis, hyperkalemia, hypokalemia, hypernatremia, hyponatremia, hypercalcemia, hypocalcemia, hyperglycemia, hypoglycemia, pneumothorax, acute tubular necrosis, patent ductus arteriosus, hypertension, consumption coagulopathy

Contributor Information and Disclosures

Author

Edwin Rodriguez-Cruz, MD, Assistant Professor, Department of Pediatrics, San Juan Bautista Medical School and Medical Center; Consulting Interventional/Clinical Pediatric Cardiologist, Department of Pediatrics, Hospital El Maestro and San Juan Bautista Medical Center; Consulting Interventional/Clinical Pediatric Cardiologist, Department of Cardiology, Cardiovascular Center of Puerto Rico and the Caribbean and Veterans Affairs Hospital and Medical Center of Puerto Rico
Edwin Rodriguez-Cruz, MD is a member of the following medical societies: American College of Cardiology, American College of Physicians-American Society of Internal Medicine, American Heart Association, American Medical Association, American Society of Echocardiography, Puerto Rico Medical Association, Society of Cardiac Angiography and Interventions, and Society of Pediatric Echocardiography
Disclosure: Nothing to disclose.

Coauthor(s)

Henry Walters III, MD, Associate Professor of Surgery, Wayne State University School of Medicine; Chief, Department of Surgery, Division of Cardiovascular Surgery, Children's Hospital of Michigan
Henry Walters III, MD is a member of the following medical societies: Alpha Omega Alpha, American Association for Thoracic Surgery, American Medical Association, International Society for Heart and Lung Transplantation, Phi Beta Kappa, and Society of Thoracic Surgeons
Disclosure: Nothing to disclose.

Sanjeev Aggarwal, MD, MBBS, Staff Physician, Department of Pediatrics, Children's Hospital of Michigan
Sanjeev Aggarwal, MD, MBBS is a member of the following medical societies: American Academy of Pediatrics and American Medical Association
Disclosure: Nothing to disclose.

Medical Editor

Daniel S Schwartz, MD, FACS, Assistant Clinical Professor of Cardiothoracic Surgery, Mount Sinai School of Medicine; Chief of Thoracic Surgery, Huntington Hospital
Daniel S Schwartz, MD, FACS is a member of the following medical societies: American College of Chest Physicians, American College of Surgeons, Society of Thoracic Surgeons, and Western Thoracic Surgical Association
Disclosure: Nothing to disclose.

Pharmacy Editor

Mary L Windle, PharmD, Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy, Pharmacy Editor, eMedicine
Disclosure: Pfizer Inc Stock Investment from financial planner; Avanir Pharma Stock Investment from financial planner ; WebMD Salary and stock Employment and investment from financial planner

Managing Editor

Mary C Mancini, MD, PhD, Professor, Department of Surgery, Louisiana State University Health Sciences Center
Mary C Mancini, MD, PhD is a member of the following medical societies: American Association for Thoracic Surgery, American College of Surgeons, American Surgical Association, Phi Beta Kappa, Society of Thoracic Surgeons, and Southern Surgical Association
Disclosure: Nothing to disclose.

CME Editor

Daniel Rauch, MD, FAAP, Director, Pediatric Hospitalist Program, Associate Professor, Department of Pediatrics, New York University School of Medicine
Daniel Rauch, MD, FAAP is a member of the following medical societies: Ambulatory Pediatric Association, American Academy of Pediatrics, and Society of Hospital Medicine
Disclosure: Baxter Honoraria Consulting

Chief Editor

Stuart Berger, MD, Professor of Pediatrics, Division of Cardiology, Medical College of Wisconsin; Chief of Pediatric Cardiology, Medical Director of Pediatric Heart Transplant Program, Medical Director of The Heart Center, Children's Hospital of Wisconsin
Stuart Berger, MD is a member of the following medical societies: American Academy of Pediatrics, American College of Cardiology, American College of Chest Physicians, American Heart Association, and Society for Cardiac Angiography and Interventions
Disclosure: Nothing to disclose.

 
 
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