• Critical care clinics · Oct 2017

    Review

    Pediatric Extracorporeal Membrane Oxygenation.

    • Christopher Loren Jenks, Lakshmi Raman, and Heidi J Dalton.
    • Department of Pediatrics, Section Critical Care Medicine, Cardiac Intensive Care Unit, Baylor College of Medicine, Texas Children's Hospital, 6621 Fannin Street, Houston, TX 77030, USA.
    • Crit Care Clin. 2017 Oct 1; 33 (4): 825-841.

    AbstractExtracorporeal 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%.Copyright © 2017 Elsevier Inc. All rights reserved.

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