Neonatology pp 537-539 | Cite as

Extracorporeal Membrane Oxygenation for Neonates

  • Anne Greenough
  • Munir Agha
  • Adam P. R. Smith


Extracorporeal membrane oxygenation (ECMO) is a form of cardiopulmonary bypass, modified such that patients can be supported for a prolonged period of time, even weeks. ECMO is not a treatment, but rather supports the patient until their lung and/or cardiac function improves. ECMO was developed for use in adult patients, but abandoned when initial trials failed to demonstrate that it improved survival advantage over that achieved by conventional respiratory support [1]. Subsequently, Bartlett and colleagues demonstrated the potential of ECMO for neonates with severe respiratory failure. Now, many thousands of neonates have been recorded on the Extracorporeal Life Support Organisation (ELSO) database as having received ECMO. In this chapter, the techniques used and the management of a neonate on ECMO are described. In addition, the indications for ECMO and the results achieved are discussed.


Oxygenation Index Extracorporeal Membrane Oxygenation Respiratory Support Conventional Ventilation Severe Respiratory Failure 
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Copyright information

© Springer-Verlag Italia 2012

Authors and Affiliations

  • Anne Greenough
    • 1
  • Munir Agha
  • Adam P. R. Smith
  1. 1.Division of Asthma, Allergy and Lung Biology MRC & Asthma UK Centre in Allergic Mechanisms of AsthmaKing’s College LondonLondonUK

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