RT Book, Section
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.
SR Print(0)
ID 1104599268
T1 Extracorporeal Membrane Oxygenation in Pediatric Cardiac Care
T2 Johns Hopkins Textbook of Cardiothoracic Surgery
YR 2014
FD 2014
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-166350-2
LK accesssurgery.mhmedical.com/content.aspx?aid=1104599268
RD 2024/04/16
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