| Massive systemic air embolism during extracorporeal membrane oxygenation support of a neonate with acute respiratory distress syndrome after cardiac surgery. | |
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MedLine Citation:
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PMID: 21848179 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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Extracorporeal membrane oxygenation (ECMO) is universally accepted as a potential lifesaving therapy for neonates suffering severe cardiorespiratory failure, with survival reported as 81% weaning off ECMO and 69% to hospital discharge in this population. Although ECMO may reduce mortality in certain neonatal patients, it is associated with significant complications. Air in the circuit complicates 4.9% of neonatal ECMO runs, and it is crucial that all ECMO caregivers are trained in the prevention of air embolism and possess the knowledge necessary to efficiently identify and remove air from the ECMO circuit to prevent life threatening consequences. We present a fatal case of neonatal systemic air embolism leading to massive entrainment of air into the ECMO venous return cannula of a neonatal patient with acute respiratory distress syndrome following repair of obstructed total anomalous pulmonary venous connection. We describe the pathophysiology and presentation of this rare condition and the importance of early recognition, due to its high mortality rate. |
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Authors:
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Joseph G Timpa; Carlisle O'Meara; R Britt McILwain; Robert J Dabal; Jeffrey A Alten |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of extra-corporeal technology Volume: 43 ISSN: 0022-1058 ISO Abbreviation: J Extra Corpor Technol Publication Date: 2011 Jun |
Date Detail:
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Created Date: 2011-08-18 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0267637 Medline TA: J Extra Corpor Technol Country: United States |
Other Details:
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Languages: eng Pagination: 86-8 Citation Subset: T |
Affiliation:
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Department of Cardiovascular Services, Division of Cardiovascular Surgery, University of Alabama at Birmingham, Birmingham, Alabama 35233, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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