Initiating an Adult and Paediatric Extracorporeal Membrane Oxygenation (ECMO) Program in a Developing Country: Challenges, Successes, Opportunities and Road Ahead
ثبت نشده
چکیده
The provision of health care for children and adults with complex heart disease has progressed by leaps and bounds in the last 60 years [1]. With developments in perfusion technology and refinement of surgical techniques, most complex heart and lung malformations can be treated adequately. Parallel developments in the field of cardiology such as early diagnosis and rapid stabilization, improvements in imaging, advanced interventional techniques, and newer treatment options for pulmonary artery hypertension and heart failure have complemented the growth in this field [1-3].
منابع مشابه
Concepts from paediatric extracorporeal membrane oxygenation for adult intensivists
Over the last 5 years, there has been a dramatic increase in the use of extracorporeal membrane oxygenation (ECMO) in adult patients with severe respiratory or cardiac failure. This contrasts to the use of the technology in neonatal and paediatric intensive care units, where it has been regarded as a standard of care for a number of conditions for over 25 years. Many innovations in ECMO circuit...
متن کاملA review of the fundamental principles and evidence base in the use of extracorporeal membrane oxygenation (ECMO) in critically ill adult patients.
Extracorporeal membrane oxygenation (ECMO) comprises a commonly used method of extracorporeal life support. It has proven efficacy and is an accepted modality of care for isolated respiratory or cardiopulmonary failure in neonatal and pediatric populations. In adults, there are conflicting studies regarding its benefit, but it is possible that ECMO may be beneficial in certain adult populations...
متن کاملExtra-corporeal membrane oxygenation for paediatric respiratory failure.
Extracorporeal membrane oxygenation (ECMO) uses modified cardiopulmonary bypass technology to provide prolonged respiratory or cardiorespiratory support for patients of all ages who have failed conventional intensive care management. The use of ECMO for neonatal respiratory failure is now evidence-based following the publication of the randomised UK Collaborative Trial. ECMO use in children rem...
متن کاملExtracorporeal Membrane Oxygenation for Severe Pediatric Respiratory Failure.
Extracorporeal membrane oxygenation (ECMO) was developed initially in the 1960s to support refractory respiratory failure in addition to the cardiac support inherent in a venoarterial bypass circuit. Early successes occurred predominantly in the neonatal population with subsequent randomized controlled trials and comprehensive reviews concluding therapeutic efficacy for ECMO in neonatal respira...
متن کاملArgatroban in adult extracorporeal membrane oxygenation.
This case report addresses the use of Argatroban, an anticoagulant and thrombin inhibitor for treatment of thrombocytopenia in an adult patient on extracorporeal membrane oxygenation (ECMO). After 5 days on ECMO, the patient showed signs of heparin-induced thrombocytopenia (HIT) with a platelet count of 20K. Argatroban was initiated to decrease progression of HIT and continue treatment with ECM...
متن کامل