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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Extra+Corpor+Technol
2011 ; 43
(4
): 236-44
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Neonatal extracorporeal membrane oxygenation devices, techniques and team roles:
2011 survey results of the United States Extracorporeal Life Support
Organization centers
#MMPMID22416604
Lawson S
; Ellis C
; Butler K
; McRobb C
; Mejak B
J Extra Corpor Technol
2011[Dec]; 43
(4
): 236-44
PMID22416604
show ga
In early 2011, surveys of active Extracorporeal Life Support Organization (ELSO)
centers within the United States were conducted by electronic mail regarding
neonatal Extracorporeal Membrane Oxygenation (ECMO) equipment and professional
staff. Seventy-four of 111 (67%) U.S. centers listed in the ELSO directory as
neonatal centers responded to the survey. Of the responding centers, 53%
routinely used roller pumps for neonatal ECMO, 15% reported using centrifugal
pumps and 32% reported using a combination of both. Of the centers using
centrifugal pumps, 51% reported that they do not use a compliance bladder in the
circuit. The majority (95%) of roller pump users reported using a compliance
bladder and 97% reported using Tygon" S-97-E tubing in the raceway of their ECMO
circuits. Silicone membrane oxygenators were reportedly used by 25% of the
respondents, 5% reported using micro-porous hollow fiber oxygenators (MPHF), 70%
reported using polymethylpentene (PMP) hollow fiber oxygenators and 5% reported
using a combination of the different types. Some form of in-line blood monitoring
was used by 88% of the responding centers and 63% of responding centers reported
using a circuit surface coating. Anticoagulation monitoring via the activated
clotting time (ACT) was reported by 100% of the reporting centers. The use of
extracorporeal cardiopulmonary resuscitation (ECPR) was reported by 53% of the
responding centers with 82% of those centers using a crystalloid primed circuit
to initiate ECPR. A cooling protocol was used by 77% of the centers which have an
ECPR program. When these data are compared with surveys from 2002 and 2008 it
shows that the use of silicone membrane oxygenators continues to decline, the use
of centrifugal pumps continues to increase and ECMO personnel continues to be
comprised of multidisciplinary groups of dedicated allied health care
professionals.