Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Editorial
. 2019 Jan;8(1):109-115.
doi: 10.21037/acs.2018.09.08.

Extracorporeal membrane oxygenation support in pediatrics

Tugba Erdil  1   2 , Frithjof Lemme  1   2 , Alexander Konetzka  1   2 , Anna Cavigelli-Brunner  2   3 , Oliver Niesse  2   3 , Hitendu Dave  1   2 , Peter Hasenclever  1   2 , Michael Hübler  1   2 , Martin Schweiger  1   2
Affiliations
Editorial

Extracorporeal membrane oxygenation support in pediatrics

Tugba Erdil et al. Ann Cardiothorac Surg. 2019 Jan.

Abstract

Extracorporeal membrane oxygenation (ECMO) is a general term that describes the short- or long-term support of the heart and/or lungs in neonates, children and adults. Due to favorable results and a steady decline in absolute contraindications, its use is increasing worldwide. Indications in children differ from those in adults. The ECMO circuit as well as cannulation strategies also are individualized, considering their implications in children. The aim of this article is to review the clinical indications, different circuits, and cannulation strategies for ECMO. We also present our institutional experience with 92 pediatric ECMO patients (34 neonates, 58 pediatric) with the majority (80%) of veno-arterial placements between 2014 until 2018. We further to also highlight ECMO use in the setting of cardiac arrest [extracorporeal cardiopulmonary resuscitation (CPR) or eCPR].

Keywords: Extracorporeal membrane oxygenation (ECMO); extracorporeal cardiopulmonary resuscitation (eCPR); pediatrics.

PubMed Disclaimer

Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Absolute numbers of ECMO implantations at our unit. *, until 1st of July 2018. ECMO, extracorporeal membrane oxygenation.
Figure 2
Figure 2
The distinct rise of ECMO implantations per month at our unit. *, until 1st of July 2018. ECMO, extracorporeal membrane oxygenation.
See this image and copyright information in PMC

References

    1. Thiagarajan RR, Barbaro RP, Rycus PT, et al. Extracorporeal Life Support Organization Registry International Report 2016. ASAIO J 2017;63:60-7. 10.1097/MAT.0000000000000475 - DOI - PubMed
    1. Wang CH, Chen YS, Ma MH. Extracorporeal life support. Curr Opin Crit Care 2013;19:202-7. 10.1097/MCC.0b013e32836092a1 - DOI - PubMed
    1. Schmiady M, Döll C, Cavigelli-Brunner A, et al. Extracorporeal membrane oxygenation in neonates and children. Cardiovascular Medicine 2017;20:57-61. 10.4414/cvm.2017.00462 - DOI
    1. Kurkluoglu M, Hynes CF, Alfares FA, et al. Choice of Peripheral Venoarterial Extra-Corporeal Membrane Oxygenation Cannulation Site in Patients Above 15 kilograms. J Card Surg 2015;30:461-5. 10.1111/jocs.12538 - DOI - PubMed
    1. Rubino A, Vuylsteke A, Jenkins DP, et al. Direct complications of the Avalon bicaval dual-lumen cannula in respiratory extracorporeal membrane oxygenation (ECMO): Single-center experience. Int J Artif Organs 2014;37:741-7. 10.5301/ijao.5000357 - DOI - PubMed

Publication types