Extracorporeal membrane oxygenation as salvage in pediatric surgical emergencies

Diana L Farmer, M. L. Cullen, A. I. Philippart, F. E. Rector, M. D. Klein, T. Weber, J. M. Laberge, K. Anderson, G. Haase, J. Vacanti, W. Weintraub, B. Harris

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Extracorporeal membrane oxygenation (ECMO) has become an established therapy for acute neonatal and pediatric respiratory failure. On an institutional level, once an ECMO program is well established, ECMO can be viewed as a logical extension of critical care for multisystem organ failure. The question left unanswered is 'Should anyone die without being offered ECMO?' The authors reviewed a 10-year clinical experience with ECMO and its application as salvage therapy in pediatric surgical emergencies. Eight patients with life-threatening multisystem organ failure, from diverse causes, were treated; the survival rate was 50%. All survivors were neurologically intact at the time of discharge. The success of ECMO, coupled with improvements in technique, apparatus, and expertise, has allowed application of ECMO as an invasive extension of intensive care to diverse patient groups. These results have encouraged the authors to expand their indications and to push the 'envelope' in offering ECMO to critically ill infants and children with life-threatening organ failure.

Original languageEnglish (US)
Pages (from-to)345-348
Number of pages4
JournalJournal of Pediatric Surgery
Volume30
Issue number2
StatePublished - 1995
Externally publishedYes

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Keywords

  • emergency
  • Extracorporeal membrane oxygenation
  • pediatric

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

Cite this

Farmer, D. L., Cullen, M. L., Philippart, A. I., Rector, F. E., Klein, M. D., Weber, T., Laberge, J. M., Anderson, K., Haase, G., Vacanti, J., Weintraub, W., & Harris, B. (1995). Extracorporeal membrane oxygenation as salvage in pediatric surgical emergencies. Journal of Pediatric Surgery, 30(2), 345-348.