PMID- 22325408
OWN - NLM
STAT- MEDLINE
DCOM- 20120628
LR  - 20191210
IS  - 1531-5037 (Electronic)
IS  - 0022-3468 (Linking)
VI  - 47
IP  - 2
DP  - 2012 Feb
TI  - Venovenous cannulation for extracorporeal membrane oxygenation using a bicaval 
      dual-lumen catheter in neonates.
PG  - 430-4
LID - 10.1016/j.jpedsurg.2011.10.055 [doi]
AB  - PURPOSE: Venovenous extracorporeal membrane oxygenation (VV-ECMO) has been used 
      as a management strategy for neonates with refractory pulmonary failure. However, 
      VV-ECMO has been limited in neonates secondary to cannula design and patient 
      size. Herein, we describe the use of a bicaval dual-lumen catheter for VV-ECMO in 
      neonates. METHODS: The medical records of all neonates cannulated for ECMO 
      support with a bicaval dual-lumen 13F catheter from 2008 to 2010 were reviewed. 
      RESULTS: Nine neonates cannulated with this dual-lumen catheter were identified. 
      The median gestational age was 38 weeks (range, 31-40 weeks), the median weight 
      was 3.4 kg (range, 2.2-5.5 kg), the median age at cannulation was 2 days (range, 
      1-64 days), and the median duration of ECMO support was 7 days (range, 5-23 
      days). There were no VV-to-VA conversions. The median pump flow both at 4 and 24 
      hours postcannulation was 300 mL/min (range, 240-370 mL/min). One patient 
      developed cannula thrombosis, and one required cannula repositioning because of 
      flow recirculation. Overall survival was 56%. CONCLUSION: The dual-lumen bicaval 
      catheter can be safely used in neonates with minimal complications and is our 
      preferred method for VV-ECMO support in the neonatal population.
CI  - Copyright (c) 2012 Elsevier Inc. All rights reserved.
FAU - Lazar, David A
AU  - Lazar DA
AD  - Texas Children's Fetal Center and Michael E DeBakey Department of Surgery, Baylor 
      College of Medicine, Houston, TX 77030, USA.
FAU - Cass, Darrell L
AU  - Cass DL
FAU - Olutoye, Oluyinka O
AU  - Olutoye OO
FAU - Kim, Eugene S
AU  - Kim ES
FAU - Welty, Stephen E
AU  - Welty SE
FAU - Fernandes, Caraciolo J
AU  - Fernandes CJ
FAU - Lee, Timothy C
AU  - Lee TC
LA  - eng
PT  - Evaluation Study
PT  - Journal Article
PL  - United States
TA  - J Pediatr Surg
JT  - Journal of pediatric surgery
JID - 0052631
RN  - 142M471B3J (Carbon Dioxide)
RN  - S88TT14065 (Oxygen)
SB  - IM
MH  - Body Weight
MH  - Carbon Dioxide/blood
MH  - Catheterization/*methods
MH  - *Catheters
MH  - Equipment Design
MH  - Extracorporeal Membrane Oxygenation/adverse effects/*instrumentation/methods
MH  - Gestational Age
MH  - Heart Atria
MH  - Hernia, Diaphragmatic/complications
MH  - Hernias, Diaphragmatic, Congenital
MH  - Humans
MH  - Hypertension, Pulmonary/complications
MH  - Infant, Newborn
MH  - Oxygen/blood
MH  - Partial Pressure
MH  - Pneumonia/complications
MH  - Respiratory Insufficiency/etiology/therapy
MH  - Retrospective Studies
MH  - Vena Cava, Inferior
MH  - Vena Cava, Superior
EDAT- 2012/02/14 06:00
MHDA- 2012/06/29 06:00
CRDT- 2012/02/14 06:00
PHST- 2011/07/12 00:00 [received]
PHST- 2011/10/05 00:00 [revised]
PHST- 2011/10/18 00:00 [accepted]
PHST- 2012/02/14 06:00 [entrez]
PHST- 2012/02/14 06:00 [pubmed]
PHST- 2012/06/29 06:00 [medline]
AID - S0022-3468(11)00930-4 [pii]
AID - 10.1016/j.jpedsurg.2011.10.055 [doi]
PST - ppublish
SO  - J Pediatr Surg. 2012 Feb;47(2):430-4. doi: 10.1016/j.jpedsurg.2011.10.055.