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Neonatal respiratory extracorporeal membrane oxygenation (ECMO) referrals.
El-Khuffash, A Kieran, E Palmer, K Molloy, E
El-Khuffash, A
Kieran, E
Palmer, K
Molloy, E
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Editors
Other Contributors
Date
2011-03
Date Submitted
Keywords
Other Subjects
Subject Mesh
Extracorporeal Membrane Oxygenation
Female
Humans
Infant, Newborn
Ireland
Male
Referral and Consultation
Respiratory Distress Syndrome, Newborn
Retrospective Studies
Female
Humans
Infant, Newborn
Ireland
Male
Referral and Consultation
Respiratory Distress Syndrome, Newborn
Retrospective Studies
Planned Date
Start Date
Collaborators
Principal Investigators
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21667611.pdf
Adobe PDF, 9.94 KB
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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
Language
en
ISSN
0332-3102
eISSN
ISBN
DOI
PMID
21667611