Device updates in pediatric and neonatal ECMO

Yujin Park; Natalie A Drucker; Brian W Gray

doi:10.1016/j.sempedsurg.2023.151334

Device updates in pediatric and neonatal ECMO

Semin Pediatr Surg. 2023 Aug;32(4):151334. doi: 10.1016/j.sempedsurg.2023.151334. Epub 2023 Oct 21.

Authors

Yujin Park¹, Natalie A Drucker², Brian W Gray³

Affiliations

¹ Department of Surgery, Indiana University, Indianapolis, IN, USA; Section of Pediatric Surgery, Indiana University, Indianapolis, IN, USA.
² Department of Pediatric Surgery, University of Texas in Houston, USA.
³ Section of Pediatric Surgery, Indiana University, Indianapolis, IN, USA. Electronic address: graybw@iupui.edu.

PMID: 37925997
DOI: 10.1016/j.sempedsurg.2023.151334

Abstract

Since the early use of extracorporeal life support (ECLS), new innovations and technological advancements have augmented the ability to use this technology in children and neonates. Cannulae have been re-designed to maintain structure and allow for single cannula venovenous (VV) ECLS in smaller patients. Circuit technology, including pumps and tubing, has evolved to permit smaller priming volumes and lower flow rates with fewer thrombotic or hemolytic complications. New oxygenator developments also improve efficiency of gas exchange. This paper serves as an overview of recent device developments in ECLS delivery to pediatric and neonatal patients.

Keywords: Cannula; Extracorporeal life support; Innovation; Oxygenator; Venoarterial; Venovenous.

MeSH terms

Child
Extracorporeal Membrane Oxygenation*
Humans
Infant, Newborn