The Role of Echocardiography in Neonates and Pediatric Patients on Extracorporeal Membrane Oxygenation
Indications for extracorporeal membrane oxygenation (ECMO) and extracorporeal cardiopulmonary resuscitation (ECPR) are expanding, and echocardiography is a tool of utmost importance to assess safety, effectiveness and readiness for circuit initiation and separation. Echocardiography is key to antici...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2018-10-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fped.2018.00297/full |
| _version_ | 1819034162157322240 |
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| author | Carles Bautista-Rodriguez Carles Bautista-Rodriguez Joan Sanchez-de-Toledo Joan Sanchez-de-Toledo Eduardo M. Da Cruz |
| author_facet | Carles Bautista-Rodriguez Carles Bautista-Rodriguez Joan Sanchez-de-Toledo Joan Sanchez-de-Toledo Eduardo M. Da Cruz |
| author_sort | Carles Bautista-Rodriguez |
| collection | DOAJ |
| description | Indications for extracorporeal membrane oxygenation (ECMO) and extracorporeal cardiopulmonary resuscitation (ECPR) are expanding, and echocardiography is a tool of utmost importance to assess safety, effectiveness and readiness for circuit initiation and separation. Echocardiography is key to anticipating complications and improving outcomes. Understanding the patient's as well as the ECMO circuit's anatomy and physiology is crucial prior to any ECMO echocardiographic evaluation. It is also vital to acknowledge that the utility of echocardiography in ECMO patients is not limited to the evaluation of cardiac function, and that clinical decisions should not be made exclusively upon echocardiographic findings. Though echocardiography has specific indications and applications, it also has limitations, characterized as: prior to and during cannulation, throughout the ECMO run, upon separation and after separation from the circuit. The use of specific and consistent echocardiographic protocols for patients on ECMO is recommended. |
| first_indexed | 2024-12-21T07:29:21Z |
| format | Article |
| id | doaj.art-fe226bdea4664f0794a81847056cd55d |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-12-21T07:29:21Z |
| publishDate | 2018-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-fe226bdea4664f0794a81847056cd55d2022-12-21T19:11:37ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602018-10-01610.3389/fped.2018.00297345946The Role of Echocardiography in Neonates and Pediatric Patients on Extracorporeal Membrane OxygenationCarles Bautista-Rodriguez0Carles Bautista-Rodriguez1Joan Sanchez-de-Toledo2Joan Sanchez-de-Toledo3Eduardo M. Da Cruz4Pediatric Cardiology Department, Hospital Sant Joan de Deu Barcelona, Universitat de Barcelona, Barcelona, SpainDepartment of Paediatric Cardiology, Royal Brompton Hospital, London, United KingdomPediatric Cardiology Department, Hospital Sant Joan de Deu Barcelona, Universitat de Barcelona, Barcelona, SpainDivision of Cardiac Intensive Care, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA, United StatesDepartment of Pediatrics, Heart Institute, Children's Hospital Colorado, School of Medicine, University of Colorado Denver, Aurora, CO, United StatesIndications for extracorporeal membrane oxygenation (ECMO) and extracorporeal cardiopulmonary resuscitation (ECPR) are expanding, and echocardiography is a tool of utmost importance to assess safety, effectiveness and readiness for circuit initiation and separation. Echocardiography is key to anticipating complications and improving outcomes. Understanding the patient's as well as the ECMO circuit's anatomy and physiology is crucial prior to any ECMO echocardiographic evaluation. It is also vital to acknowledge that the utility of echocardiography in ECMO patients is not limited to the evaluation of cardiac function, and that clinical decisions should not be made exclusively upon echocardiographic findings. Though echocardiography has specific indications and applications, it also has limitations, characterized as: prior to and during cannulation, throughout the ECMO run, upon separation and after separation from the circuit. The use of specific and consistent echocardiographic protocols for patients on ECMO is recommended.https://www.frontiersin.org/article/10.3389/fped.2018.00297/fullechocardiographyECMOpediatricsneonatalfunction assessment |
| spellingShingle | Carles Bautista-Rodriguez Carles Bautista-Rodriguez Joan Sanchez-de-Toledo Joan Sanchez-de-Toledo Eduardo M. Da Cruz The Role of Echocardiography in Neonates and Pediatric Patients on Extracorporeal Membrane Oxygenation Frontiers in Pediatrics echocardiography ECMO pediatrics neonatal function assessment |
| title | The Role of Echocardiography in Neonates and Pediatric Patients on Extracorporeal Membrane Oxygenation |
| title_full | The Role of Echocardiography in Neonates and Pediatric Patients on Extracorporeal Membrane Oxygenation |
| title_fullStr | The Role of Echocardiography in Neonates and Pediatric Patients on Extracorporeal Membrane Oxygenation |
| title_full_unstemmed | The Role of Echocardiography in Neonates and Pediatric Patients on Extracorporeal Membrane Oxygenation |
| title_short | The Role of Echocardiography in Neonates and Pediatric Patients on Extracorporeal Membrane Oxygenation |
| title_sort | role of echocardiography in neonates and pediatric patients on extracorporeal membrane oxygenation |
| topic | echocardiography ECMO pediatrics neonatal function assessment |
| url | https://www.frontiersin.org/article/10.3389/fped.2018.00297/full |
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