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Topic: Extracorporeal membrane oxygenation


  
 Extracorporeal Membrane Oxygenation (ECMO), Cincinnati Children's Hospital Medical Center
Survival in such situations is often felt to be 20 percent or less.
One use is soon after heart surgery to allow the heart to recover from surgery.
For newborns and infants, periodic head ultrasounds are done to monitor for intra ventricular hemorrhage.
http://www.cincinnatichildrens.org/health/heart-encyclopedia/treat/surg/ecmo.htm   (887 words)

  
 [No title]
Plasma prostanoids in neonates with pulmonary hypertension treated with conventional therapy and with extracorporeal membrane oxygenation.
Elective extracorporeal membrane oxygenation: an improved perioperative technique in the treatment of tracheal obstruction.
Pharmacokinetic changes during extracorporeal membrane oxygenation: implications for drug therapy of neonates.
http://www.elso.med.umich.edu/WordForms/ELSOBibliography.doc   (13307 words)

  
 eMedicine - Extracorporeal Membrane Oxygenation : Article by Sanjeev Aggarwal, MD
Later, extracorporeal support began to be used as postoperative support in patients following cardiac surgery.
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.
Pressure monitors, which are placed before and after the oxygenator, measure the pressure of the circulating blood and are used to monitor for a dangerous rise in circuit pressure.
http://www.emedicine.com/ped/topic2895.htm   (3554 words)

  
 Extracorporeal Membrane Oxygenation AHealthyMe.com
Because infants on ECMO may have been struggling with low oxygen levels before treatment, they may be at higher risk for developmental problems.
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.
Before ECMO is begun, the patient receives medication to ease pain and restrict movement.
http://www.ahealthyme.com/topic/topic100586798   (1200 words)

  
 Citebase - Extracorporeal membrane oxygenation for severe acute respiratory failure
Abstract Extracorporeal membrane oxygenation (ECMO) is a technique for providing life support, in case the natural lungs are failing and are not able to maintain a sufficient oxygenation of the body's organ systems.
ECMO technique was an adaptation of conventional cardiopulmonary bypass technique and introduced into treatment of severe acute respiratory distress syndrome (ARDS) in the 1970s.
Improvement in arterial oxygenation with reduction of risk of pulmonary barotrauma in patients with adult respiratory distress syndrome." Chest 104 889-898
http://citebase.eprints.org/cgi-bin/citations?id=oai:biomedcentral.com:cc689   (3332 words)

  
 Extracorporeal Life Support
A number of research projects are ongoing in the University of Michigan Cardiopulmonary Physiology and Extracorporeal Circulation Research Laboratory and include projects such as thrombogenicity in extracorporeal circulation, perfluorocarbon liquid ventilation, implantable prosthetic lung devices, pulmonary fibrosis in acute lung injury, and the development and evaluation of devices and techniques for prolonged extracorporeal circulation.
Adult patients undergoing extracorporeal life support are cared for in both the Surgical and Thoracic Intensive Care Units.
The team works in conjunction with the Surgical, Thoracic, Pediatric and Neonatal Intensive Care staff as well as the Divisions of Pediatric, Thoracic and General Surgery and the in the care of adult patients.
http://www.med.umich.edu/ecmo   (392 words)

  
 Extracorporeal membrane oxygenation and conventional medical therapy in neonates with persistent pulmonary hypertension ...
Extracorporeal membrane oxygenation and conventional medical therapy in neonates with persistent pulmonary hypertension of the newborn: a prospective randomized study -- O'Rourke et al.
Results of extracorporeal membrane oxygenation in neonates with sepsisThe Extracorporeal Life Support Organization experience
Pediatric Acute Hypoxemic Respiratory Failure: Management of Oxygenation
http://pediatrics.aappublications.org/cgi/content/abstract/84/6/957   (815 words)

  
 Science commentary: Extracorporeal membrane oxygenation -- Berger 317 (7163): 916 -- BMJ
Extracorporeal membrane oxygenation is a technique for oxygenating blood outside the body which does away with the need for
The oxygenator has blood passing through it countercurrent to a flow of 100% oxygen, the blood and oxygen being separated
These babies may do well with more prolonged treatment.
http://bmj.bmjjournals.com/cgi/content/full/317/7163/916   (320 words)

  
 ECMO Center - Children's Healthcare of Atlanta
Provides extracorporeal life support to critically ill patients in an ongoing effort to exceed the expectations of medical therapies available to our community.
These sophisticated heart and lung bypass machines assume a patient’s heart and lung functions allowing these organs to heal during some critical illnesses.
Ongoing research projects enable our team to continually provide quality care to our critically ill patients.
http://www.choa.org/default.aspx?id=795   (205 words)

  
 Economic evaluation and randomised controlled trial of extracorporeal membrane oxygenation: UK collaborative trial • ...
Randomised trials are currently the most robust method of comparing effectiveness of new interventions such as extracorporeal
a technique which oxygenates blood outside the body, obviating
analysis, we feel that the study supports adoption of extracorporeal
http://bmj.bmjjournals.com/cgi/content/full/317/7163/911   (3678 words)

  
 Meconium aspiration syndrome and extracorporeal membrane oxygenation -- DAVIS and SHEKERDEMIAN 84 (1): 1 -- Archives of ...
Figure 1 Chest radiograph of infant with severe meconium aspiration syndrome showing typical "white out" appearance 24 hours after institution of venoarterial extracorporeal membrane oxygenation support.
in oxygenation even within these trials, there were still neonates
morbidity, some infants with an oxygen index greater than 40 are
http://fn.bmjjournals.com/cgi/content/full/84/1/F1   (1975 words)

  
 Femoral Venoarterial Extracorporeal Membrane Oxygenation for Severe Reimplantation Response After Lung Transplantation ...
Because of further deterioration of the oxygenation (Pa with consequently hemodynamic instability (low cardiac
Peter Lauwers, MD From the Departments of Intensive Care Medicine (Drs.
After 50 h of ECMO, his chest radiograph had dramatically improved,
http://www.chestjournal.org/cgi/content/full/118/2/559   (1476 words)

  
 ECMO, Extracorporeal Membrane Oxygenation, 131
ECLS: extracorporeal life support- a general term including various ways to keep patients alive by pumping blood through machines outside the body; these machines take over for the part of the body that is failing.
IVOX: (intravascular oxygenator) this system is still under investigation.
ECMO (extracorporeal membrane oxygenation) is a procedure to keep a patient alive, while the lungs are healing.
http://www.bluecrossma.com/common/en_US/medical_policies/131.htm   (2947 words)

  
 Article #2505, Cardiac Dimensions During Extracorporeal Membrane Oxygenation
Objective: Our aim was to analyze left ventricular fractional shortening during extracorporeal membrane oxygenation under the influence of changing volume loading conditions induced by a ductal left-to-right shunt.
A greater decrease in fractional shortening was observed in the group with a ductal left-to-right shunt when compared to patients lacking the ductal shunt (p less than 0.006).
The diastolic diameter of the left ventricle also increased significantly during the membrane oxygenation in those patients with left-to-right ductal shunting.
http://www.perfusion.com/cgi-bin/absolutenm/templates/mobilearticledisplay.asp?articleid=2505   (266 words)

  
 Thomas Jefferson University Hospital - Extracorporeal Membrane Oxygenation (ECMO) Program
The procedure, which oxygenates a baby's blood outside the body, allows lungs that were severely damaged, a chance to heal.
ECMO can be a life-saving therapy for those neonates suffering from meconium aspiration syndrome, pneumonia, or any critical neonatal pulmonary problems.
NAPS (Network for Apnea and Pediatric Sleep Evaluations)
http://www.jeffersonhospital.org/pediatrics/article4758.html   (209 words)

  
 CHEST: Extracorporeal membrane oxygenation and pulmonary disease
Mechanical ventilation and positive end-expiratory pressure were utilized as treatment, but her condition continued to deteriorate and she sustained bilateral tension pneumothoraces.
Ultimately treatment was successful, and the patient was discharged home on day 58.
Four hours following tracheal intubation, venovenous extracorporeal membrane oxygenation (ECMO) was initiated.
http://www.findarticles.com/p/articles/mi_m0984/is_1_127/ai_n9474710   (226 words)

  
 Extracorporeal Membrane Oxygenation
Support and information for families of children, or individuals, who need or have been on ecmo (extracorporeal membrane oxygenation) for severe meconium aspiration, chronic diaphragmatic hernia or strep b sepsis.
The above information is based upon information available through the "verified" date at the end of each listing.
Healthwise disclaims any liability for the decisions you make based on this information.
http://hw.healthdialog.com/kbase/shc/shc29emo.htm   (135 words)

  
 A 16-Year Neonatal/Pediatric Extracorporeal Membrane Oxygenation Transport Experience -- Wilson et al. 109 (2): 189 -- ...
Extracorporeal Life Support in Pediatric and Neonatal Critical Care: A Review
The changing demographics of neonatal extracorporeal membrane oxygenation patients reported to the ELSO registry.
Key Words: extracorporeal membrane oxygenation • respiratory insufficiency • congenital heart defects • infant • newborn • infant • child • transportation of patients
http://pediatrics.aappublications.org/cgi/content/full/109/2/189   (3119 words)

  
 Pilot investigation of hypothermia in neonates receiving extracorporeal membrane oxygenation -- Ichiba et al. 88 (2): ...
Selective head cooling in newborn infants after perinatal asphyxia: a safety study.
Extracorporeal membrane oxygenation and neonatal respiratory failure: experience from the Extracorporeal Life Support Organization.
Lack of effect of induction of hypothermia after acute brain injury.
http://fn.bmjjournals.com/cgi/content/full/88/2/F128   (3800 words)

  
 BCM Neonatology: Clinical - Programs: Nitric Oxide
Baylor College of Medicine neonatologists participated in the first large trial, and our section treats more than 45 infants a year with inhaled nitric oxide (iNO).
FDA approval was based on the results of several large, randomized, controlled trials that demonstrated that the use of inhaled nitric oxide in newborns with hypoxemic respiratory failure improves oxygenation and reduces the need for ECMO (heart-lung bypass).
The etiologies of neonatal hypoxic respiratory failure that have been shown to respond to iNO include primary pulmonary hypertension, severe hyaline membrane disease, meconium aspiration, pneumonia, sepsis, and congenital diaphragmatic hernia.
http://www.neonate.net/clinical/programs/no.htm   (212 words)

  
 Extracorporeal membrane oxygenation - Wikipedia, the free encyclopedia
Oxygenated blood is then returned to the patient.
It may therefore be life-saving for some patients.
In intensive care medicine, extracorporeal membrane oxygenation (ECMO) is a technique of providing both cardiac and respiratory supportoxygen to patients whose heart and lungs are so severely diseased that they can no longer serve their function.
http://en.wikipedia.org/wiki/Extracorporeal_membrane_oxygenation   (345 words)

  
 Extracorporeal Membrane Oxygenation (ECMO)
Extracorporeal membrane oxygenation for treatment of a select population of neonates who are in a dying condition with intractable respiratory failure is considered medically necessary if the medical appropriateness criteria are met.
Extracorporeal membrane oxygenation for treatment of other conditions / diseases and for children and adults is considered investigational.
Published data is inadequate to permit scientific conclusions regarding the application of extracorporeal membrane oxygenation for the treatment of other conditions / diseases and for children or adults.
http://www.bcbst.com/MPManual/Extracorporeal_Membrane_Oxygenat.htm   (618 words)

  
 ExtraCorporeal Membrane Oxygenation
Although more commonly used in the neonatal and pediatric populations, it is recognized as a useful approach in adult patients who have a combined cardiopulmonary pathologic process which does not respond to maximal medical treatment.
ECMO is the application of both cardiac and pulmonary support utilizing a mechanical pump, typically a centrifugal pump, and a membrane oxygenator.
http://www.uphs.upenn.edu/surgery/clin/ct/artheart/ecmo1.html   (119 words)

  
 OhioLINK ETD: Kazdan, David
Acid/base chemistry control of the ECMO patient is also examined.
Extracorporeal membrane oxygenation (ECMO) is a well-established cardiopulmonary support technique, used most frequently intraoperatively (short-term) and in the neonatal intensive care unit setting (for up to two weeks).
The device serves as an artificial lung outside the body, separating a flowing blood phase from a flowing gas phase by an O
http://rave.ohiolink.edu/etdc/view?acc_num=case1060019332   (370 words)

  
 Extracorporeal Membrane Oxygenation (ECMO) - Advanced Medical Resources
Neonatal EMCO is well-studied, professionally represented and patient information is data based at the national level.
The use of extracorporeal circuits to provide cardiac or respiratory support to older patients is data based in/at Oregon.
Extracorporeal membrane oxygenation or (ECMO) is a general acronym describing the long term use of an artificial blood oxygenator in an extracorporeal circuit to support or replace a newborn’s undeveloped or failing lungs, or a pediatric or adult patient’s damaged, infected, or failing lungs to allow treatment and healing.
http://www.advancedmedresources.com/ecmo.asp   (154 words)

  
 Extracorporeal membrane oxygenation in adults
Extracorporeal membrane oxygenation (ECMO) is indicated for respiratory or cardiac failure unresponsive to all other measures, but considered to have a reversible cause.
Consent - procedures for which the benefits and risks are uncertain
It involves connecting the internal circulation to an external blood pump and artificial lung.
http://www.nice.org.uk/cms/ip/ipcat.aspx?o=IP_29   (306 words)

  
 Pediatrics: Venovenous extracorporeal membrane oxygenation affects renal function.@ HighBeam Research
Search for more information on HighBeam Research for.
Pediatrics: Venovenous extracorporeal membrane oxygenation affects renal function.@ HighBeam Research
Venovenous extracorporeal membrane oxygenation (ECMO) appears to have temporary adverse effects on kidney function.
http://highbeam.com/library/doc0.asp?docid=1G1:16899156&refid=ink_tptd_mag   (193 words)

  
 Cost-utility analysis of salvage cardiac extracorporeal membrane oxygenation in children -- Mahle et al. 129 (5): 1084 ...
Cost-utility analysis of salvage cardiac extracorporeal membrane oxygenation in children
Cost-utility analysis of salvage cardiac extracorporeal membrane oxygenation in children -- Mahle et al.
METHODS: Medical records of patients with congenital heart disease receiving
http://jtcs.ctsnetjournals.org/cgi/content/abstract/129/5/1084   (310 words)

  
 Heart Assist Device: ECMO (Extracorporeal Membrane Oxygenation Machine)
ECMO can be used for patients in heart failure and in patients who cannot get enough oxygen to their body through their lungs.
The ECMO circuit is literally a temporary artificial lung and heart that is modeled on the heart-lung bypass machine used for open-heart surgery.
Heart Assist Device: ECMO (Extracorporeal Membrane Oxygenation Machine)
http://www.cts.usc.edu/heartassistdevices-ecmo.html   (65 words)

  
 Neonatal Intensive Care Unit
Memorial is one of only a few hospitals worldwide utilizing extracorporeal membrane oxygenation (ECMO) for severe heart and lung conditions.
The youngest and tiniest babies are treated in our Neonatal Intensive Care Unit, where a team of neonatologists and specialized nursing, respiratory and support professionals provides advanced, specialty care.
http://www.mhs.net/Services/NeonatalICU.aspx   (57 words)

  
 The Family Village / Library / Extracorporeal Membrane Oxygenation
This list is for parents, friends and families of children who are or have been on ECMO (extracorporeal membrane oxygenation).
Topics available for discussion could be long term effects, mutual support and patient updates among other things.
The Family Village / Library / Extracorporeal Membrane Oxygenation
http://www.familyvillage.wisc.edu/lib_ecmo.htm   (74 words)

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