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Extracorporeal membrane oxygenation is now standard treatment of severe respiratory failure in newborn infants in our center (200 cases) and worldwide (over 2500 cases), but there are few reports of such trials in older children. We reviewed our experience with extracorporeal membrane oxygenation in 33 children aged 1 week to 18 years between 1971 and 1989. The modality was used when all other treatment failed. Extracorporeal membrane oxygenation provided excellent cardiopulmonary support for 1 to 25 days (average 7 1/2 days). The survival rate was 25% for cardiac support patients and 47% for respiratory failure patients (36% overall survival). Mechanical complications included membrane lung failure, tubing rupture, and pump failure, all managed without mortality. Physiologic complications included bleeding, pneumothorax, cardiac arrest, renal failure, hepatic failure, and brain injury. The major cause of death was irreversible injury to lung, heart, or brain. Extracorporeal life support is a reasonable approach for children with serious but reversible cardiopulmonary failure.
H L Anderson, and
R J Attorri, and
J R Custer, and
R A Chapman, and
R H Bartlett
May 2018,
Zhonghua er ke za zhi = Chinese journal of pediatrics,
H L Anderson, and
R J Attorri, and
J R Custer, and
R A Chapman, and
R H Bartlett
September 2018,
Zhonghua er ke za zhi = Chinese journal of pediatrics,
H L Anderson, and
R J Attorri, and
J R Custer, and
R A Chapman, and
R H Bartlett
June 2017,
Respiratory care,
H L Anderson, and
R J Attorri, and
J R Custer, and
R A Chapman, and
R H Bartlett
July 2008,
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H L Anderson, and
R J Attorri, and
J R Custer, and
R A Chapman, and
R H Bartlett
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H L Anderson, and
R J Attorri, and
J R Custer, and
R A Chapman, and
R H Bartlett
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H L Anderson, and
R J Attorri, and
J R Custer, and
R A Chapman, and
R H Bartlett
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H L Anderson, and
R J Attorri, and
J R Custer, and
R A Chapman, and
R H Bartlett
February 1987,
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H L Anderson, and
R J Attorri, and
J R Custer, and
R A Chapman, and
R H Bartlett
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H L Anderson, and
R J Attorri, and
J R Custer, and
R A Chapman, and
R H Bartlett
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