Current trends in neonatal ECMO

Extracorporeal membrane oxygenation (ECMO) is a life-saving therapy for patients with respiratory and cardiac failure refractory to maximal medical management. The extracorporeal life support organization registry is the largest available resource for describing the population and outcomes of patien...

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Bibliographic Details
Published in:Seminars in perinatology 2018-03, Vol.42 (2), p.80-88
Main Authors: Mahmood, Burhan, Newton, Debra, Pallotto, Eugenia K.
Format: Article
Language:English
Subjects:
Developmental outcomes
ECMO modes
Equipment trends
Evidence-Based Medicine
Extracorporeal Membrane Oxygenation - trends
Heart Failure - mortality
Heart Failure - therapy
Hernias, Diaphragmatic, Congenital - mortality
Hernias, Diaphragmatic, Congenital - therapy
Humans
Infant, Newborn
Mechanical complications
Meconium Aspiration Syndrome - mortality
Meconium Aspiration Syndrome - therapy
Neonatal cardiac ECMO
Neonatal respiratory ECMO
Patient complications
Patient survival
Practice Guidelines as Topic
Registries - statistics & numerical data
Respiratory Insufficiency - mortality
Respiratory Insufficiency - therapy
Survival Rate
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Summary:Extracorporeal membrane oxygenation (ECMO) is a life-saving therapy for patients with respiratory and cardiac failure refractory to maximal medical management. The extracorporeal life support organization registry is the largest available resource for describing the population and outcomes of patients treated with this therapy. The use of ECMO for neonatal patients is decreasing in proportion to the total annual ECMO runs most likely due to advancements in medical management. Although the overall survival for neonatal ECMO has decreased, this is likely a reflection of the increasingly complex neonatal patients treated with this therapy. Although many patient and mechanical complications are decreasing over time, there remains a high percentage of morbidities and risks associated with ECMO. Continued refinements in management strategies are important to improving overall patient outcomes.
ISSN:0146-0005
1558-075X
DOI:10.1053/j.semperi.2017.12.003