Extracorporeal membrane oxygenation support in neonates: a single center experience in Turkey

Emel OKULU; Fatma Begüm ATASAY; Gaffari TUNÇ; Hasan AKDUMAN; Ömer ERDEVE; Saadet ARSAN; Zeynep EYİLETEN; Tayfun UÇAR; Hasan Ercan TUTAR

Article Details

Extracorporeal membrane oxygenation support in neonates: a single center experience in Turkey

Authors:

Emel OKULU | Fatma Begüm ATASAY | Gaffari TUNÇ | Hasan AKDUMAN | Ömer ERDEVE | Saadet ARSAN | Zeynep EYİLETEN | Tayfun UÇAR | Hasan Ercan TUTAR

Publisher:

TUBITAK

Journal:

Turkish Journal of Medical Sciences 2018 Vol.48 Issue 2, pp.223-230

Document Type:

Article

Publication Date:

3/2018

Document Language:

Turkish

Document ID (Org No.):

2000750779

Frequency:

Bimonthly

eISSN:

1303-6165

pISSN:

1300-0144

Abstract:

 

Background/aim: Extracorporeal membrane oxygenation (ECMO) is a form of life support for patients with respiratory failure, cardiac failure, or both.  e aim of this study was to evaluate neonates supported with ECMO and report our experience as a Turkish neonatal intensive care unit.  Materials and methods: We retrospectively reviewed 11 newborn infants treated with ECMO at Ankara University for respiratory and cardiac failure. We reported the demographic, diagnostic, laboratory, and clinical data of the patients.  Results: Eleven patients (9 male, 2 female) received ECMO support with a mean gestational age of 39.1 ± 1.6 weeks and mean birth weight of 3513 ± 506 g. Six patients received venoarterial (VA) ECMO and  ve patients received venovenous (VV) ECMO. Mean age at initiation and duration of ECMO was 7.2 ± 7.4 days (2?24 days) and 10.4 ± 4.9 days (5?21 days), respectively. Mean oxygenation index (OI) before ECMO was 48.5 ± 5.7. ECMO was withdrawn from one patient due to severe brain injury.  e survival rate for ECMO was 73% and the survival rate to discharge was 64%, whereas the survival rate in congenital diaphragmatic hernia (CDH) cases was 40%.  Conclusion: Our early results from ECMO for neonates are encouraging. Identi cation of patients for ECMO support and timely referral will o er a survival opportunity to complex neonatal cases.

Article Details

Extracorporeal membrane oxygenation support in neonates: a single center experience in Turkey

Authors: Emel OKULU | Fatma Begüm ATASAY | Gaffari TUNÇ | Hasan AKDUMAN | Ömer ERDEVE | Saadet ARSAN | Zeynep EYİLETEN | Tayfun UÇAR | Hasan Ercan TUTAR

Publisher: TUBITAK

Journal: Turkish Journal of Medical Sciences 2018 Vol.48 Issue 2, pp.223-230

Document Type: Article

Publication Date: 3/2018

Document Language: Turkish

Document ID (Org No.): 2000750779

Frequency: Bimonthly

eISSN: 1303-6165

pISSN: 1300-0144

Issues

Authors:

Emel OKULU | Fatma Begüm ATASAY | Gaffari TUNÇ | Hasan AKDUMAN | Ömer ERDEVE | Saadet ARSAN | Zeynep EYİLETEN | Tayfun UÇAR | Hasan Ercan TUTAR

Publisher:

TUBITAK

Journal:

Turkish Journal of Medical Sciences 2018 Vol.48 Issue 2, pp.223-230

Document Type:

Article

Publication Date:

3/2018

Document Language:

Turkish

Document ID (Org No.):

2000750779

Frequency:

Bimonthly

eISSN:

1303-6165

pISSN:

1300-0144