Document Detail

Patient selection for neonatal extracorporeal membrane oxygenation: beyond severity of illness.
MedLine Citation:
PMID:  19461595     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To explore how neonates with respiratory failure are selected for extracorporeal membrane oxygenation (ECMO) once severity of illness criteria are met, and to determine how conflicts between ECMO providers and parents over the initiation of ECMO are addressed.
STUDY DESIGN: A cross-sectional study was conducted using a data collection survey, which was sent to the directors of neonatal respiratory ECMO centers.
RESULT: The lowest birth weight and gestational age at which respondents would consider placing a neonate on ECMO were frequently below recommended thresholds. There was wide variability in respondents' willingness to place neonates on ECMO in the presence of conditions such as intraventricular hemorrhage and hypoxic ischemic encephalopathy. The number of respondents who would never seek to override parental refusal of ECMO was equal to the number who would always do so.
CONCLUSION: Significant variability exists in the selection criteria for neonatal ECMO and in how conflicts with parents over the provision of ECMO are resolved.
R L Chapman; S M Peterec; M J Bizzarro; M R Mercurio
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Publication Detail:
Type:  Journal Article     Date:  2009-05-21
Journal Detail:
Title:  Journal of perinatology : official journal of the California Perinatal Association     Volume:  29     ISSN:  1476-5543     ISO Abbreviation:  J Perinatol     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-08-27     Completed Date:  2009-11-16     Revised Date:  2013-06-02    
Medline Journal Info:
Nlm Unique ID:  8501884     Medline TA:  J Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  606-11     Citation Subset:  IM    
Department of Pediatrics, Yale University School of Medicine, New Haven, CT 06520-5426, USA.
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MeSH Terms
Birth Weight
Data Collection
Extracorporeal Membrane Oxygenation / standards*,  utilization
Gestational Age
Guideline Adherence
Infant, Newborn
Patient Selection*
Respiratory Insufficiency / therapy*
Severity of Illness Index

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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