Complications of extracorporeal membrane oxygenation in neonates

Capt John W. Watson, Lt Col David M. Brown, Maj Kevin P. Lally, Donald Null, Maj Reese Clark

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

In cases of severe respiratory failure, cardiopulmonary bypass has been used as support until cardiac and pulmonary recovery occurs. We report the Wilford Hall USAF Medical Center experience with extracorporeal membrane oxygenation (ECMO) and its associated complications. From July 1985 to March 1989, 57 neonates were placed on membrane oxygenators. The overall survival was 79%. Technical complications encountered included catheter-related problems, mechanical complications of the pump apparatus, and hemorrhage. Hemorrhagic complications were the most frequent and devastating complications encountered. Intracranial hemorrhage accounted for six deaths associated with bypass. Extracorporeal membrane oxygenation is successful in significantly improving survival of neonates whose predicted mortality approaches 100% with conventional treatment. The rate of infant mortality using the membrane oxygenator is not affected by technical complications related to catheter position, mechanical problems with the circuit, or hemorrhage, excluding intracranial hemorrhage. The major cause of death of infants receiving extracorporeal membrane oxygenation is the underlying disease process leading to cardiopulmonary failure.

Original languageEnglish (US)
Pages (from-to)1262-1265
Number of pages4
JournalSouthern Medical Journal
Volume83
Issue number11
DOIs
StatePublished - Jan 1 1990
Externally publishedYes

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Extracorporeal Membrane Oxygenation
Membrane Oxygenators
Intracranial Hemorrhages
Newborn Infant
Catheters
Hemorrhage
Infant Mortality
Cardiopulmonary Bypass
Respiratory Insufficiency
Cause of Death
Lung
Mortality
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Watson, C. J. W., Brown, L. C. D. M., Lally, M. K. P., Null, D., & Clark, M. R. (1990). Complications of extracorporeal membrane oxygenation in neonates. Southern Medical Journal, 83(11), 1262-1265. https://doi.org/10.1097/00007611-199011000-00007

Complications of extracorporeal membrane oxygenation in neonates. / Watson, Capt John W.; Brown, Lt Col David M.; Lally, Maj Kevin P.; Null, Donald; Clark, Maj Reese.

In: Southern Medical Journal, Vol. 83, No. 11, 01.01.1990, p. 1262-1265.

Research output: Contribution to journalArticle

Watson, Capt John W. ; Brown, Lt Col David M. ; Lally, Maj Kevin P. ; Null, Donald ; Clark, Maj Reese. / Complications of extracorporeal membrane oxygenation in neonates. In: Southern Medical Journal. 1990 ; Vol. 83, No. 11. pp. 1262-1265.
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