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| | ECMO - A Family Guide |
 | | ECMO will not cure these conditions; it does give support and allow time for the lungs/heart to heal. | | | The management of ECMO equipment the minute-to-minute monitoring of ECMO patients is done by these specially trained nurses and respiratory therapists. | | | There are two types of ECMO therapy; venoarterial (V-A) and venovenous (V-V). |
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http://www.ards.org/learnaboutards/treatment/ecmo.html
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| | ECMO |
| | ECMO therapy acts as an artificial heart and lung to support oxygenation for a period of days while the baby's lungs are allowed to recover. | | | Tube or catheter used in the surgical process that connects the ECMO circuit to the patient's circulation. | | | Seven to 10 days of ECMO therapy is usually enough time to allow the lungs to become more self-sufficient. |
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http://www.uchsc.edu/sm/peds/neonatol/ecmo.html
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| | Report of the Workshop on |
| | Extracorporeal Membrane Oxygenation (ECMO) is a new, highly invasive therapy that is being investigated and utilized in newborn infants with cardiorespiratory failure. | | | ECMO seems susceptible to such pressures, especially since the existence of superior neonatal intensive care is often advertised as a reason that prospective mothers should choose a hospital’s obstetrical unit. | | | ECMO following cardiac surgery is currently in use in some centers and requires careful evaluation by clinical research protocols to determine who should be a postsurgical candidate for ECMO and to determine risk versus benefit. |
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http://www.nichd.nih.gov/publications/pubs/ecmo/ecmo.htm
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| | Nitric oxide for respiratory failure in infants born at or near term |
| | ECMO not available to infants as a backup therapy, therefore the number of infants dying is the same as the number of infants dying or requiring ECMO. | | | This therapy is very potent in reducing the need for ECMO, with an NNT of 5.3. | | | This occurred despite the fact that infants with diaphragmatic hernia who received nitric oxide were more likely to improve their oxygenation (data from Ninos 1997 only, all control infants failed to improve oxygenation compared to 20/24 nitric oxide subjects, relative risk of failure to improve oxygenation was 0.83; 95% CI, 0.70, 1.00). |
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http://www.nichd.nih.gov/cochrane/FINER/FINER.HTM
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| | Extracorporeal membrane oxygenation |
| | Before ECMO is begun, the patient receives medication to ease pain and restrict movement. | | | There are two types of ECMO: Venoarterial (V-A) ECMO supports the heart and lungs, and is used for patients with blood pressure or heart functioning problems in addition to respiratory problems. | | | Because infants on ECMO may have been struggling with low oxygen levels before treatment, they may be at higher risk for developmental problems. |
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http://www.chclibrary.org/micromed/00047650.html
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| | U-M and its medical miracle |
| | ECMO physicians and technicians counsel families that "if it's very clear we are simply prolonging the process of dying, we stop." The work builds bonds among the team and survivors. | | | Of the first 1,000 patients with respiratory failure treated with ECMO since 1980, when data started to be collected, the survival rate is 88 percent among infants; 70 percent among children, and 56 percent among adults. | | | The survival rate among patients with cardiac problems was 48 percent for children and 33 percent for adults. |
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http://www.freep.com/news/health/um16_20000216.htm
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| | ECMO information |
| | ECMO is used when a baby or child has a condition which prevents the lungs from working properly, i.e. | | | ECMO nurses and another ECMO doctor makes sure your child is stable, well sedated and pain-free throughout the procedure. | | | It is not intended to take the place of discussions you may have with the ECMO doctors or nurses. |
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http://www.gla.ac.uk/departments/surgicalpaediatrics/ecmoinfo.htm
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| | eMedicine - Extracorporeal Membrane Oxygenation : Article by Sanjeev Aggarwal, MD |
| | Evaluation of a pediatric patient for ECMO support is largely based on an assessment of the patient's condition and the institutional experience with pediatric ECMO. | | | The purpose of ECMO is to allow time for intrinsic recovery of the lungs and heart; a standard cardiopulmonary bypass provides support during various types of cardiac surgical procedures. | | | Other studies have proven that the neurodevelopmental outcome of the ECMO cohort is comparable to other high-risk neonatal groups and similar to neonates with the same condition managed conventionally. |
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http://www.emedicine.com/ped/topic2895.htm
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| | ECLS Family Guide to Neonatal ECMO |
| | ECMO will be used only when other methods of support have been tried and your baby has not improved. | | | Your baby will not be "poked" by a needle while they are on ECMO. | | | The ECMO physician is also specially trained in taking care of sick babies and babies on ECMO. |
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http://www.med.umich.edu/ecmo/guides/neonatalguide.htm
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| | ECMO patients reunite at Vanderbilt |
| | Melissa was on ECMO for five days when her lungs improved, and she was able to begin functioning on her own. | | | There are two types of ECMO: VA and VV — the method chosen is based on the needs of the child. | | | “Many parents and patients inquire about how other previous ECMO patients are doing and what problems or struggles they may have related to ECMO,” Bartilson said. |
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http://www.mc.vanderbilt.edu/reporter?ID=2913
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| | ECMO |
| | The child is given medications to prevent pain and movement during the surgery. | | | While your child is on ECMO he receives a medicine called heparin. | | | Children and some infants may be able to stay on ECMO for a few weeks, but sadly over a period of time there other organ do suffer and then a heart and/or lung transplant would not be possible |
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http://www.heart-transplant.co.uk/ecmo.htm
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| | [No title] |
| | ECMO therapy, including heparin management, has been further refined in the 1990's. | | | IN SUMMARY: Early consultation with an ECMO center is encouraged and should result in appropriate and safe transfer of the potential candidate prior to the infant's actually meeting criteria for the institution of ECMO therapy. | | | Although refinement of the procedure occurred in the early 1980's, the premature infant continued have a significant risk of intracranial hemorrhage with ECMO therapy. |
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http://www.elso.med.umich.edu/WordForms/neoconsult.doc
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| | Children's National Medical Center ECMO & Advanced Therapies for Respiratory Failure - Welcome |
| | The winter ECMO conference is a forum for the presentation and discussion of current therapies and techniques in Extracorporeal Life Support and advanced therapies for respiratory failure. | | | The Northwestern University, Feinberg School of Medicine is accredited by the ACCME to provide continuing medical education for physicians. | | | This conference will address the educational needs of Pediatric Healthcare Workers involved in care of the neonatal or pediatric patient in respiratory &/or cardiovascular failure. |
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http://www.ecmomeeting.com
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| | Mobile ECMO program begins |
| | In addition, the Children's Hospital mobile ECMO team will not have the necessary equipment or systems in place to cannulate a patient at another facility. | | | An example of a patient who might need this service would be a child who is unable to successfully come off cardiopulmonary bypass, or one who decompensates in the early postoperative period and needs to be placed on ECMO. | | | With the help of Matt Scanlon, MD, patient safety program director and critical care intensivist at Children's Hospital and assistant professor of Pediatrics at the Medical College of Wisconsin, a Failure Modes and Effects Analysis (FMEA) was performed to identify risks associated with the initiation of a mobile ECMO program. |
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http://www.chw.org/display/router.asp?DocID=10685
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| | ECMO Therapy |
| | As many as 80% of these babies can be saved by a procedure known as ECMO (Extracorporeal Membrane Oxygenation), a heart/lung bypass procedure that allows a baby’s blood to be oxygenated outside of the body. | | | Although the health professionals do their best to communicate with the family, most parents do not feel informed during this critical time when the life of their child hangs in the balance. | | | This procedure is used when a child has no other chance of survival and conventional methods, such as mechanical ventilation, medications, and extra oxygen, will be unsuccessful. |
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http://www.idrama.com/ecmo.htm
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| | ECMO |
| | A significant number of referrals for consideration for ECMO support have been managed with other innovative respiratory techniques pioneered at RHSC because of the introduction of the ECMO Programme. | | | The Service is provided in two locations - Neonatal patients are managed in the Neonatal Surgical ICU and Paediatric and Cardiac patients are supported in the Paediatric ICU. | | | There is an active research programme based on Critical Care and ECMO support. |
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http://www.gla.ac.uk/departments/surgicalpaediatrics/ecmo_programme.htm
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| | ECMO ECCO2R Protocol |
| | If not change cannulae, (avoid right internal jugular which may be needed as an ECMO cannulation site.) This is to minimize the need for intravascular cannulations once the patient is heparinized. | | | In the latter case, if the heart improves on ECMO then the technique can be converted from Veno-Arterial to Veno-Venous ECCO | | | Severe pulmonary hypertension (MPAP > 45 or > 75% systemic) especially with Right Heart Failure |
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http://www.alfred-thoracic-transplant-unit.com/AHLTU/ECMO.htm
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| | WFUBMC ECMO Program |
| | The ECMO Program is under the Department of Respiratory Care Services; the Department of Cardio-Thoracic Surgery provides Medical Direction. | | | We provide extracorporeal support to neonatal, pediatric, and adult patients in cardiac and / or respiratory failure unresponsive to maximal medical therapy (including surfactant therapy, Nitric Oxide, and HFOV). | | | A History of Our ECMO Program: The ECMO Program at Wake Forest University Baptist Medical Center began clinical operations in January 1996. |
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http://www.wfubmc.edu/ecmo
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| | ECMO informaton and support from an adult ECMO survivor |
| | It is an experience we hope no one would ever have to go thru, as it is very difficult for all involved, the patient, and especially the family. | | | We dedicate this site to ALL ECMO patients, their families, the doctors and the ECMO staff whom make this miracle machine what it is. | | | Please feel free to email us if you have any questions, comments, or if you just want to share your story with us!! |
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http://myorca.iwarp.com
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| | ecmo_pics |
| | A water heater is used to warm the blood before it is returned to the patient. | | | ECMO Co-ordinator, Tracy Parr Practice Educator, Duncan Macrae. |
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http://www.ich.ucl.ac.uk/ecmo/ecmo_pics.html
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| | ecmo |
| | It may therefore be life-saving for some patients. | | | In intensive care medicine, extracorporeal membrane oxygenation (ECMO) is a technique of providing oxygen to patients whose lungs are so severely diseased that they can no longer serve their function. | | | Anticoagulant drugs (usually heparin) are given to prevent blood clotting. |
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http://www.yourencyclopedia.net/ECMO.html
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| | NPEU - ECMO |
| | A cost effectiveness analysis of neonatal ECMO using existing evidence. | | | A comparison of clinical variables that predict adverse outcome in term infants with severe respiratory failure randomised to a policy of extracorporeal membrane oxygenation or to conventional neonatal intensive care. | | | The separate respiratory function testing has also been completed. |
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http://www.npeu.ox.ac.uk/ecmo
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| | ECMO |
| | Although extracorporeal membrane oxygenation (ECMO) is the traditional term associated with this technique, ECLS is the current, preferred mnemonic since the term "life support" encompasses functions other than "oxygenation", including cardiac and hemodynamic support as well as carbon dioxide elimination. | | | The term extracorporeal life support (ECLS) denotes the use of prolonged extracorporeal cardiopulmonary bypass, usually via extrathoracic cannulation, in patients with acute, reversible cardiac or respiratory failure who are unresponsive to conventional medical or pharmacologic management. | | | Foley DS, Pranikoff T, Younger JG, Swaniker F, Hemmila MR, Remenapp RA, Copenhaver W, Landis D, Hirschl RB, Bartlett RH: A review of 100 patients transported on extracorporeal life support. |
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http://pediatric.um-surgery.org/new_070198/new/Library/ECMO.htm
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| | Pacific-Ecmo |
| | The unique blend of military and civilian ECMO leaders participating in the planning process will set the stage for a world class Hawaii ECMO Center. | | | When implemented, this will be the second national DOD affiliated ECMO center to serve the patients of Hawaii and the Pacific Rim. | | | A world class Pediatric Extracorporeal Membrane Oxygenation (ECMO) Center is being planned for Hawaii. |
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http://www.pacific-ecmo.com
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