Economics and ethics of paediatric respiratory extra corporeal life

Hdl Handle:
http://hdl.handle.net/10147/302391
Title:
Economics and ethics of paediatric respiratory extra corporeal life
Authors:
Callaghan, M; Doyle, Y; O Hare, B; M Healy, M; Nˆ¶lke, L
Publisher:
Irish Medical Journal
Journal:
Irish Medical Journal
Issue Date:
Sep-2013
URI:
http://hdl.handle.net/10147/302391
Abstract:
Extra corporeal membrane oxygenation (ECMO) is a form of life support, which facilitates gas exchange outside the body via an oxygenator and a centrifugal pumping system. A paediatric cardiac ECMO programme was established in 2005 at Our Ladyâ s Childrenâ s Hospital, Crumlin (OLCHC) and to date 75 patients have received ECMO, the majority being post operative cardiac patients. The outcome data compares favourably with international figures. ECMO has been most successful in the treatment of newborn infants with life threatening respiratory failure from conditions such as meconium aspiration, respiratory distress syndrome and respiratory infections. There is no formal paediatric respiratory ECMO programme at OLCHC, or anywhere else in Ireland. Currently, neonates requiring respiratory ECMO are transferred to centres in Sweden or the UK at an average cost of 133,000/infant, funded by the Health Service Executive E112 treatment abroad scheme. There is considerable morbidity associated with the transfer of critically ill infants, as well as significant psycho-social impact on families. OLCHC is not funded to provide respiratory ECMO, although the equipment and expertise required are similar to cardiac ECMO and are currently in place. The average cost of an ECMO run at OLCHC is 65,000. There is now a strong argument for a fully funded single national cardiac and respiratory paediatric ECMO centre, similar to that for adult patients
Item Type:
Article
Language:
en
Keywords:
PAEDIATRICS; ECONOMIC EVALUATION
Local subject classification:
LIFE SUPPORT; EXTRA CORPOREAL MEMBRANE OXYGENATION

Full metadata record

DC FieldValue Language
dc.contributor.authorCallaghan, Men_GB
dc.contributor.authorDoyle, Yen_GB
dc.contributor.authorO Hare, Ben_GB
dc.contributor.authorM Healy, Men_GB
dc.contributor.authorNˆ¶lke, Len_GB
dc.date.accessioned2013-09-27T10:44:41Z-
dc.date.available2013-09-27T10:44:41Z-
dc.date.issued2013-09-
dc.identifier.urihttp://hdl.handle.net/10147/302391-
dc.description.abstractExtra corporeal membrane oxygenation (ECMO) is a form of life support, which facilitates gas exchange outside the body via an oxygenator and a centrifugal pumping system. A paediatric cardiac ECMO programme was established in 2005 at Our Ladyâ s Childrenâ s Hospital, Crumlin (OLCHC) and to date 75 patients have received ECMO, the majority being post operative cardiac patients. The outcome data compares favourably with international figures. ECMO has been most successful in the treatment of newborn infants with life threatening respiratory failure from conditions such as meconium aspiration, respiratory distress syndrome and respiratory infections. There is no formal paediatric respiratory ECMO programme at OLCHC, or anywhere else in Ireland. Currently, neonates requiring respiratory ECMO are transferred to centres in Sweden or the UK at an average cost of 133,000/infant, funded by the Health Service Executive E112 treatment abroad scheme. There is considerable morbidity associated with the transfer of critically ill infants, as well as significant psycho-social impact on families. OLCHC is not funded to provide respiratory ECMO, although the equipment and expertise required are similar to cardiac ECMO and are currently in place. The average cost of an ECMO run at OLCHC is 65,000. There is now a strong argument for a fully funded single national cardiac and respiratory paediatric ECMO centre, similar to that for adult patientsen_GB
dc.language.isoenen
dc.publisherIrish Medical Journalen_GB
dc.subjectPAEDIATRICSen_GB
dc.subjectECONOMIC EVALUATIONen_GB
dc.subject.otherLIFE SUPPORTen_GB
dc.subject.otherEXTRA CORPOREAL MEMBRANE OXYGENATIONen_GB
dc.titleEconomics and ethics of paediatric respiratory extra corporeal lifeen_GB
dc.typeArticleen
dc.identifier.journalIrish Medical Journalen_GB
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen
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