Extracorporeal membrane oxygenation (ECMO) is the process of using prolonged cardiopulmonary bypass to support patients with reversible respiratory and/or cardiac failure who are refractory to maximal conventional therapy. This process has been used extensively for critically ill neonates, with encouraging results. The use of ECMO in the pediatric population has been limited but is increasing. The history, mechanics, and current applications of ECMO are discussed in this article. Critical care nursing management of the pediatric or neonatal ECMO patient focuses on optimizing recovery of the pulmonary and/or cardiac system while preventing complications. A case study of a pediatric ECMO patient is presented which illustrates the complex nursing care issues related to use of this intervention. Future directions for ECMO are addressed
Respiratory Care in Children| August 01 1990
Extracorporeal Membrane Oxygenation: Current Use and Future Directions
Beth Kaplan McDermott, RN, BSN, CCRN;
Martha A. Q. Curley, RN, MSN, CCRN
From the Multidisciplinary Intensive Care Unit, The Children’s Hospital, Boston, Massachusetts.
Reprint requests to Martha A. Q. Curley, RN, MSN, CCRN, Multidisciplinary Intensive Care Unit, Pavilion 5, Childrens’ Hospital, 300 Longwood Ave, Boston, MA 02115.
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AACN Adv Crit Care (1990) 1 (2): 348-364.
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Beth Kaplan McDermott, Martha A. Q. Curley; Extracorporeal Membrane Oxygenation: Current Use and Future Directions. AACN Adv Crit Care 1 August 1990; 1 (2): 348–364. doi: https://doi.org/10.4037/15597768-1990-2014
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