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Neonatology pp 537–539Cite as

Extracorporeal Membrane Oxygenation for Neonates

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Abstract

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.

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Author information

Authors and Affiliations

  1. Division of Asthma, Allergy and Lung Biology MRC & Asthma UK Centre in Allergic Mechanisms of Asthma, King’s College London, London, UK

    Anne Greenough

Authors
  1. Anne Greenough
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  2. Munir Agha
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  3. Adam P. R. Smith
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Editor information

Editors and Affiliations

  1. Department of Pediatrics, Obstetrics and Reproductive Medicine, Division of Neonatology, University of Siena General Hospital S. Maria alle Scotte Azienda Ospedaliera Universitaria Senese, Siena, Italy

    Giuseppe Buonocore (Professor of Pediatrics and Neonatology, Head of School of Pediatrics) (Professor of Pediatrics and Neonatology, Head of School of Pediatrics)

  2. University of Siena, Siena, Italy

    Rodolfo Bracci (Formerly Professor of Pediatrics and Head of Department of Pediatrics, Obstetrics and Reproductive Medicine) (Formerly Professor of Pediatrics and Head of Department of Pediatrics, Obstetrics and Reproductive Medicine)

  3. University of Liverpool, UK

    Michael Weindling (Professor of Perinatal Medicine, Director of Postgraduate Research, Head of School of Paediatrics Mersey Deanery) (Professor of Perinatal Medicine, Director of Postgraduate Research, Head of School of Paediatrics Mersey Deanery)

  4. Department of Women’s and Children’s Health, Institute of Translational Medicine, Liverpool, UK

    Michael Weindling (Professor of Perinatal Medicine, Director of Postgraduate Research, Head of School of Paediatrics Mersey Deanery) (Professor of Perinatal Medicine, Director of Postgraduate Research, Head of School of Paediatrics Mersey Deanery)

  5. Liverpool Women’s Hospital, Liverpool, UK

    Michael Weindling (Professor of Perinatal Medicine, Director of Postgraduate Research, Head of School of Paediatrics Mersey Deanery) (Professor of Perinatal Medicine, Director of Postgraduate Research, Head of School of Paediatrics Mersey Deanery)

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© 2012 Springer-Verlag Italia

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Greenough, A., Agha, M., Smith, A.P.R. (2012). Extracorporeal Membrane Oxygenation for Neonates. In: Buonocore, G., Bracci, R., Weindling, M. (eds) Neonatology. Springer, Milano. https://doi.org/10.1007/978-88-470-1405-3_72

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  • DOI: https://doi.org/10.1007/978-88-470-1405-3_72

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-1404-6

  • Online ISBN: 978-88-470-1405-3

  • eBook Packages: MedicineMedicine (R0)

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