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Neonatal extracorporeal membrane oxygenation in Texas
J B Zwischenberger1, D Null, J Goldthorn
1Division of Cardiothoracic Surgery, UTMB, Galveston 77550.
Texas Medicine
|August 1, 1990
Summary
Extracorporeal membrane oxygenation (ECMO) offers an 80% survival rate for neonates with severe respiratory failure. Early communication with Texas ECMO centers is recommended due to program distances.
Area of Science:
- Neonatal Medicine
- Cardiopulmonary Bypass
- Pediatric Critical Care
Background:
- Severe respiratory failure in neonates carries an 80% predicted mortality rate.
- Extracorporeal membrane oxygenation (ECMO) provides prolonged extracorporeal cardiopulmonary bypass.
- ECMO utilizes extrathoracic vascular cannulation with a modified heart-lung machine.
Purpose of the Study:
- To evaluate the effectiveness of ECMO in treating neonates with severe respiratory failure.
- To report survival rates for neonates undergoing ECMO in Texas.
- To highlight the geographical distribution and accessibility of ECMO services in Texas.
Main Methods:
- Analysis of data from 116 neonates treated with ECMO in Texas.
- Review of ECMO treatment protocols and outcomes.
- Mapping of ECMO center locations within Texas.
Main Results:
- ECMO achieved an 80% survival rate in over 3,000 neonates nationally.
- In Texas, 74% of 116 treated neonates survived ECMO.
- ECMO centers in Texas are located in San Antonio, Galveston, Lubbock, and Dallas.
Conclusions:
- ECMO is a successful life-saving treatment for neonates with severe respiratory failure.
- Geographical distribution of ECMO centers in Texas necessitates early communication for timely access.
- Prompt consultation with the nearest ECMO program is crucial for optimal patient outcomes.