Neonatal respiratory extracorporeal membrane oxygenation (ECMO) referrals.

Hdl Handle:
http://hdl.handle.net/10147/135752
Title:
Neonatal respiratory extracorporeal membrane oxygenation (ECMO) referrals.
Authors:
El-Khuffash, A; Kieran, E; Palmer, K; Molloy, E
Affiliation:
Department of Paediatrics, National Maternity hospital, Holles St, Dublin 2.
Citation:
Neonatal respiratory extracorporeal membrane oxygenation (ECMO) referrals. 2011, 104 (3):78-81 Ir Med J
Journal:
Irish medical journal
Issue Date:
Mar-2011
URI:
http://hdl.handle.net/10147/135752
PubMed ID:
21667611
Additional Links:
http://www.ncbi.nlm.nih.gov/pubmed/21667611
Abstract:
Extracorporeal membrane oxygenation (ECMO) is a complex technique for providing life support in neonatal respiratory failure. T UK Collaborative ECMO trial demonstrated cost-effectiveness and substantial improvements in neurological morbidity and mortality. Currently, infants requiring ECMO in Ireland are referred to one of various centres in the UK and Scandinavia. We aimed to review the number of infants referred from Ireland for respiratory ECMO. All infants with a non-cardiac condition referred from Ireland for ECMO were reviewed for diagnosis and outcomes. Eleven infants required ECMO between June 2006 and January 2009 and were referred to the Scandinavian team for ECMO transport although one infant improved and did not require ECMO following the arrival of the team. Four infants died: one infant died prior to arrival of the ECMO team, 3 infants had fatal diagnoses and one infant with congenital diaphragmatic hernia received pre-op ECMO. The median (inter-quartile range) gestational age was 39.7 (38.3-40.7) weeks and birth weight of 3.7 (3.2-4.0) kg. The median age at the decision to transfer for ECMO was 13h (4-123) and the team arrived at 23 h (12-132). All infants had a normal cranial ultrasound and echo prior to ECMO and 2 infants had an abnormal MRI post-ECMO. The time on ECMO was 9 days (3-17) and total length of hospital stay was 32 d (23-36). There were no pre-ECMO clinical or biochemical
Item Type:
Article
Language:
en
MeSH:
Extracorporeal Membrane Oxygenation; Female; Humans; Infant, Newborn; Ireland; Male; Referral and Consultation; Respiratory Distress Syndrome, Newborn; Retrospective Studies
ISSN:
0332-3102

Full metadata record

DC FieldValue Language
dc.contributor.authorEl-Khuffash, Aen
dc.contributor.authorKieran, Een
dc.contributor.authorPalmer, Ken
dc.contributor.authorMolloy, Een
dc.date.accessioned2011-07-11T08:46:08Z-
dc.date.available2011-07-11T08:46:08Z-
dc.date.issued2011-03-
dc.identifier.citationNeonatal respiratory extracorporeal membrane oxygenation (ECMO) referrals. 2011, 104 (3):78-81 Ir Med Jen
dc.identifier.issn0332-3102-
dc.identifier.pmid21667611-
dc.identifier.urihttp://hdl.handle.net/10147/135752-
dc.description.abstractExtracorporeal membrane oxygenation (ECMO) is a complex technique for providing life support in neonatal respiratory failure. T UK Collaborative ECMO trial demonstrated cost-effectiveness and substantial improvements in neurological morbidity and mortality. Currently, infants requiring ECMO in Ireland are referred to one of various centres in the UK and Scandinavia. We aimed to review the number of infants referred from Ireland for respiratory ECMO. All infants with a non-cardiac condition referred from Ireland for ECMO were reviewed for diagnosis and outcomes. Eleven infants required ECMO between June 2006 and January 2009 and were referred to the Scandinavian team for ECMO transport although one infant improved and did not require ECMO following the arrival of the team. Four infants died: one infant died prior to arrival of the ECMO team, 3 infants had fatal diagnoses and one infant with congenital diaphragmatic hernia received pre-op ECMO. The median (inter-quartile range) gestational age was 39.7 (38.3-40.7) weeks and birth weight of 3.7 (3.2-4.0) kg. The median age at the decision to transfer for ECMO was 13h (4-123) and the team arrived at 23 h (12-132). All infants had a normal cranial ultrasound and echo prior to ECMO and 2 infants had an abnormal MRI post-ECMO. The time on ECMO was 9 days (3-17) and total length of hospital stay was 32 d (23-36). There were no pre-ECMO clinical or biochemical-
dc.language.isoenen
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pubmed/21667611en
dc.subject.meshExtracorporeal Membrane Oxygenation-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshInfant, Newborn-
dc.subject.meshIreland-
dc.subject.meshMale-
dc.subject.meshReferral and Consultation-
dc.subject.meshRespiratory Distress Syndrome, Newborn-
dc.subject.meshRetrospective Studies-
dc.titleNeonatal respiratory extracorporeal membrane oxygenation (ECMO) referrals.en
dc.typeArticleen
dc.contributor.departmentDepartment of Paediatrics, National Maternity hospital, Holles St, Dublin 2.en
dc.identifier.journalIrish medical journalen
dc.description.provinceLeinster-
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