TY - CHAP M1 - Book, Section TI - Extracorporeal Membrane Oxygenation in Pediatric Cardiac Care A1 - Karamlou, Tara A1 - McMullan, D. Michael A1 - Baden, Harris P. A1 - Jeffries, Howard A1 - Cohen, Gordon A. A2 - Yuh, David D. A2 - Vricella, Luca A. A2 - Yang, Stephen C. A2 - Doty, John R. PY - 2014 T2 - Johns Hopkins Textbook of Cardiothoracic Surgery AB - From the earliest days, advances in extracorporeal membrane oxygenation (ECMO) have been linked to advances in cardiopulmonary bypass (CPB) and repair of congenital cardiac malformations. Since C. Walton Lillihei1 first employed the technique of controlled cross-circulation using the patient’s parent, efforts to perfect cardiopulmonary support have transitioned from the operating room to the intensive care unit. In the intervening years, every facet of CPB has been studied and refined. Improvements in these techniques have afforded the surgeon the opportunity to tackle the most complex anatomic anomalies in even the smallest babies. Likewise, advances in extracorporeal support (ECLS) methods have led clinicians to expand their clinical indications and implementation in the ICU. However, despite the fact that the notion and use of extracorporeal circulation originated in the cardiac surgical suite, heart disease was, until the last decade or so, usually a contraindication for ECMO. Early experience in adults was discouraging,2 with better success reported in the care of newborns with respiratory failure.3 Extension to include older infants and children with respiratory failure followed.4 SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/20 UR - accesssurgery.mhmedical.com/content.aspx?aid=1104599268 ER -