Conversion from Extracorporeal Membrane Oxygenation to Total Cardiopulmonary Bypass: A Simplified Method

Melinda S. Dickes, Klayton W. Buckley, Kimberly R. Glogowski, Gary W Raff, Dale M. Geiss

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Pediatric patients who have preoperative hemodynamic instability or postoperative cardiac decompensation may frequently require the use of extracorporeal membrane oxygenation (ECMO) for stabilization of cardiac and respiratory function. While ECMO can be a therapeutic treatment for the congenital pediatric patient, it does not allow the additional functions of a complete cardiopulmonary bypass (CPB) circuit should subsequent surgical revision in the operating room be required. This paper will discuss our approach to converting the ECMO circuit to total cardiopulmonary bypass allowing the use of cardioplegia, cardiotomy suction, and modified ultrafiltration. This technique allows the conversion to CPB without ceasing support to the critically ill patient or exposing them to additional blood products or surface area in the priming of a new extracorporeal circuit. In addition, this circuit design allows for the resumption of ECMO support utilizing the same circuit if the patient necessitates it.

Original languageEnglish (US)
Pages (from-to)196-199
Number of pages4
JournalJournal of Extra-Corporeal Technology
Volume35
Issue number3
StatePublished - Sep 2003
Externally publishedYes

Keywords

  • Cardiac arrest
  • Cardiopulmonary bypass
  • Extracorporeal membrane oxygenation

ASJC Scopus subject areas

  • Medicine (miscellaneous)

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