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 language | English (US) |
|---|---|
| Pages (from-to) | 345-348 |
| Number of pages | 4 |
| Journal | Journal of Pediatric Surgery |
| Volume | 30 |
| Issue number | 2 |
| State | Published - 1995 |
| Externally published | Yes |
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Keywords
- emergency
- Extracorporeal membrane oxygenation
- pediatric
ASJC Scopus subject areas
- Surgery
- Pediatrics, Perinatology, and Child Health
Cite this
Extracorporeal membrane oxygenation as salvage in pediatric surgical emergencies. / Farmer, Diana 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.
In: Journal of Pediatric Surgery, Vol. 30, No. 2, 1995, p. 345-348.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Extracorporeal membrane oxygenation as salvage in pediatric surgical emergencies
AU - Farmer, Diana L
AU - Cullen, M. L.
AU - Philippart, A. I.
AU - Rector, F. E.
AU - Klein, M. D.
AU - Weber, T.
AU - Laberge, J. M.
AU - Anderson, K.
AU - Haase, G.
AU - Vacanti, J.
AU - Weintraub, W.
AU - Harris, B.
PY - 1995
Y1 - 1995
N2 - 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.
AB - 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.
KW - emergency
KW - Extracorporeal membrane oxygenation
KW - pediatric
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M3 - Article
C2 - 7738763
AN - SCOPUS:0028838016
VL - 30
SP - 345
EP - 348
JO - Journal of Pediatric Surgery
JF - Journal of Pediatric Surgery
SN - 0022-3468
IS - 2
ER -