Fifteen-minute consultation: When to consider extracorporeal membrane oxygenation

Arch Dis Child Educ Pract Ed. 2024 Mar 19;109(2):82-87. doi: 10.1136/archdischild-2018-316034.

Abstract

Extracorporeal membrane oxygenation (ECMO) is a form of organ support which is used for severe, potentially reversible respiratory, cardiac or cardiorespiratory failure. While it is associated with significant risk of intracerebral injury in neonates and children, outcomes can be excellent, and timely referral is associated with improved survival and reduced morbidity. This article provides a concise summary of the technical aspects of ECMO support, indications for referral, complications, outcomes and important considerations for follow-up.

Keywords: intensive care units, neonatal; intensive care units, paediatric; neonatology; paediatrics.

MeSH terms

  • Child
  • Extracorporeal Membrane Oxygenation*
  • Heart Failure*
  • Humans
  • Infant, Newborn
  • Referral and Consultation
  • Respiratory Insufficiency* / diagnosis
  • Respiratory Insufficiency* / therapy