Neonatal venoarterial and venovenous ECMO

被引:1
|
作者
Chernoguz, Artur [1 ]
Monteagudo, Julie [1 ,2 ]
机构
[1] Brown Univ, Dept Surg, Warren Alpert Med Sch, Div Pediat Surg, Providence, RI 02912 USA
[2] 2 Dudley St,Suite 190, Providence, RI 02905 USA
关键词
Neonatal ECMO; Venovenous ECMO; Venoarterial ECMO; Neonatal hybrid cannulation; EXTRACORPOREAL MEMBRANE-OXYGENATION; COLLABORATIVE RANDOMIZED-TRIAL; CANNULATION; DECANNULATION; EXPERIENCE; CONVERSION; OUTCOMES; LAMBS; SHUNT;
D O I
10.1016/j.sempedsurg.2023.151326
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
ECMO remains an important support tool in the treatment of neonates with reversible congenital cardiopul-monary diseases. There are specific circumstances that call for either venoarterial (VA) or venovenous (VV) ECMO in neonates. While limited by the infant's the size and gestational age, ECMO can confer exceptional survival rates to a number of neonates who can often develop without devastating complications. However, it remains a labor and time intensive endeavor, which may be impractical or unattainable in resource-limited environments. While adult and pediatric ECMO indications and equipment options have expanded in recent years, neonatal ECMO continues to be a niche subspecialty requiring specific expertise and technical skill, especially considering the ever-changing neonatal physiology in the setting of cardiopulmonary support. It is critical to recognize the unique approaches to cannulation options, imaging, vessel management, anti-coagulation, and monitoring protocols to achieve optimal outcomes. Thus, it becomes nearly impossible to separate the role of pediatric surgeons from the continuous involvement with and management of neonatal ECMO patients. This necessitates that pediatric surgeons in ECMO centers continue to hone their expertise and remain heavily involved in neonatal ECMO. This section reviews the most critical current approaches and un-resolved controversies in neonatal ECMO with special attention to the practical aspects and decisions a surgeon faces in initiation and termination of neonatal ECMO.
引用
收藏
页数:6
相关论文
共 50 条
  • [1] Venoarterial versus venovenous ECMO for neonatal respiratory failure
    Rais-Bahrami, Khodayar
    Van Meurs, Krisa P.
    SEMINARS IN PERINATOLOGY, 2014, 38 (02) : 71 - 77
  • [2] Pediatric venoarterial and venovenous ECMO
    Zens, Tiffany
    Ochoa, Brielle
    Eldredge, R. Scott
    Molitor, Mark
    SEMINARS IN PEDIATRIC SURGERY, 2023, 32 (04)
  • [3] Transfusion Requirements for Patients on Venoarterial and Venovenous Extracorporeal Membrane Oxygenation (ECMO)
    Thompson, D.
    Sundin, A.
    Murphy, A.
    Zantek, N.
    Brunsvold, M. E.
    Loor, G.
    Welbig, J.
    Harmon, J. V.
    TRANSFUSION, 2016, 56 : 106A - 107A
  • [4] PROGNOSIS AND OUTCOME OF NEONATES TREATED EITHER WITH VENOARTERIAL (VA) OR VENOVENOUS (VV) ECMO
    VARNHOLT, V
    LASCH, P
    SARTORIS, J
    KOELFEN, W
    KACHEL, W
    LORENZ, C
    WIRTH, H
    INTERNATIONAL JOURNAL OF ARTIFICIAL ORGANS, 1995, 18 (10): : 569 - 573
  • [5] VENOVENOUS PERFUSION IN ECMO FOR NEWBORN RESPIRATORY INSUFFICIENCY - A CLINICAL COMPARISON WITH VENOARTERIAL PERFUSION
    KLEIN, MD
    ANDREWS, AF
    WESLEY, JR
    TOOMASIAN, J
    NIXON, C
    ROLOFF, D
    BARTLETT, RH
    ANNALS OF SURGERY, 1985, 201 (04) : 520 - 526
  • [6] Venovenous versus venoarterial ECMO for treatment of hypoxic cardiac arrest in pulmonary failure
    Trittenwein, G.
    Burda, G.
    Golej, J.
    Windberger, U.
    Pollak, A.
    ACTA PAEDIATRICA, 2007, 96 : 39 - 39
  • [7] Comparison of venovenous versus venoarterial extracorporeal membrane oxygenation (ECMO) in newborn infants.
    Tantivit, P
    Gangitano, E
    McEwan, R
    Vogt, J
    Liberman, R
    Durand, M
    PEDIATRIC RESEARCH, 1996, 39 (04) : 1477 - 1477
  • [8] OUTCOMES ON VENOVENOUS CONVERSION TO VENOARTERIAL OR HYBRID ECMO IN ADULT PATIENTS WITH COVID-19
    Nguyen, Khoa
    Altibi, Ahmed
    Prasad, Pooja
    Mukundan, Srini
    Shekar, Kiran
    Ramanathan, Ram
    Zakhary, Bishoy
    CRITICAL CARE MEDICINE, 2024, 52
  • [9] In Vitro Pumping Performance Evaluation of the Ension Pediatric Cardiopulmonary Assist System for Venoarterial and Venovenous ECMO
    George M. Pantalos
    Danielle E. Abel
    Ashwin Ravisankar
    Timothy J. Horrell
    Christina Lind
    Allie Funk
    Erle H. Austin
    Christopher E. Mascio
    Cardiovascular Engineering and Technology, 2012, 3 (3) : 250 - 262
  • [10] Morbidity of conversion from venovenous to venoarterial ECMO in neonates with meconium aspiration or persistent pulmonary hypertension
    Choi, Beatrix Hyemin
    Verma, Sourabh
    Cicalese, Erin
    Dapul, Heda
    Toy, Bridget
    Chopra, Arun
    Fisher, Jason C.
    JOURNAL OF PEDIATRIC SURGERY, 2021, 56 (03) : 459 - 464