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Preoxygenation Techniques for Tracheal Intubation in Critically Ill Adults Utilizing Oxygen Mask and Noninvasive Ventilation
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Preoxygenation Techniques for Tracheal Intubation in Critically Ill Adults Utilizing Oxygen Mask and Noninvasive Ventilation

Published on: December 5, 2025

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Concepts from paediatric extracorporeal membrane oxygenation for adult intensivists

Warwick Butt1,2,3, Graeme MacLaren4,5,6

  • 1Paediatric Intensive Care Unit, Royal Children's Hospital, Flemington Rd, Parkville, VIC, 3052, Australia.

Annals of Intensive Care
|March 5, 2016
PubMed

Insights

Extracorporeal membrane oxygenation (ECMO) use is rising in adults, mirroring its established role in pediatrics. This review explores pediatric ECMO concepts applicable to adult critical care, enhancing treatment strategies.

Area of Science:

  • Critical Care Medicine
  • Pediatric Cardiology
  • Adult Cardiac Surgery

Background:

  • Extracorporeal membrane oxygenation (ECMO) has been a standard in neonatal and pediatric intensive care for over 25 years.
  • Recent years have seen a significant rise in adult ECMO use for severe respiratory and cardiac failure.

Purpose of the Study:

  • To bridge the knowledge gap between pediatric and adult ECMO practices.
  • To identify and evaluate pediatric-derived ECMO concepts for adult patient application.

Main Methods:

  • Review of established ECMO concepts and clinical management strategies from pediatric medicine.
  • Analysis of the applicability and potential benefits of these concepts in adult critical care settings.

Main Results:

  • Identified nine key ECMO concepts well-established in pediatric care.
  • Discussed the potential translation and adaptation of these concepts for adult ECMO therapy.

Conclusions:

  • Cross-disciplinary learning in ECMO can significantly advance adult patient care.
  • Pediatric ECMO experience offers valuable insights for optimizing adult respiratory and cardiac support.

Keywords:
ChildrenCritical careExtracorporeal life supportIntensive care

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