Impact of Polymethylpentene Oxygenators on Outcomes of All Extracorporeal Life Support Patients in the United States

Approximately 3.5 million babies are born each year in approximately 5000 hospitals in the United States. Only 15% of these hospitals have neonatal intensive care facilities. Six percent of all newborns require life support in the delivery room or nursery, and this need for resuscitation rises to 80% in neonates weighing less than 1500 g at birth. Personnel who are skilled in neonatal resuscitation and capable of functioning as a team and an appropriately equipped delivery room must always be readily available. At least one person skilled in neonatal resuscitation should be in attendance at every delivery. Currently, a joint effort by the American Academy of Pediatrics and the American Heart Association has resulted in the development of a comprehensive course to train appropriate personnel in neonatal resuscitation throughout the United States. Neonatal resuscitation is also taught as part of a Pediatric Advanced Life Support course offered by the American Heart Association. In concert with the goals of the American Academy of Pediatrics and the American Heart Association, we strongly urge all personnel responsible for care of the newborn in the delivery room to become certified in neonatal resuscitation. The practical approach to neonatal resuscitation is the focus of this article.

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Epidemiology of Pediatric Prehospital Basic Life Support Care in the United States

Prehospital Emergency Care ◽

10.3109/10903127.2015.1076099 ◽

2015 ◽

Vol 20 (2) ◽

pp. 230-238 ◽

Cited By ~ 17

Author(s):

Leigh Ann Diggs ◽

Manasi Sheth-Chandra ◽

Gianluca De Leo

Keyword(s):

United States ◽

Basic Life Support ◽

Life Support ◽

The United States ◽

Life Support Care

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Nosocomial Bloodstream Infections in Patients Receiving Extracorporeal Life Support: Variability in Prevention Practices

Journal of Intensive Care Medicine ◽

10.1177/0885066615571540 ◽

2016 ◽

Vol 31 (10) ◽

pp. 654-669 ◽

Cited By ~ 17

Author(s):

Lily B. Glater-Welt ◽

James B. Schneider ◽

Marcia M. Zinger ◽

Lisa Rosen ◽

Todd M. Sweberg

Keyword(s):

Infection Prevention ◽

Life Support ◽

Antimicrobial Prophylaxis ◽

Blood Stream Infection ◽

Extracorporeal Life Support ◽

Bloodstream Infections ◽

The United States ◽

Blood Stream ◽

Blood Cultures ◽

Support Organization

Nosocomial blood stream infections (BSIs) increase both the morbidity and the mortality of patients receiving extracorporeal life support (ECLS). The aim of this study was to identify common practices for blood stream infection prevention among national Extracorporeal Membrane Oxygenation (ECMO) programs. An electronic survey that comprised of a 16-item questionnaire was sent out to all ECMO program directors and coordinators within the United States that are part of the Extracorporeal Life Support Organization (ELSO) registry. A total of 152 institutions in 40 states were surveyed, with 85 (55%) responses. One-quarter of the institutions responded that an ECMO infection-prevention bundle or checklist was used during the cannulation. Less than half responded that an ECMO infection-prevention bundle or checklist was used for cannula maintenance, although a majority (82.9%) of institutions responded that a “standard approach to cannula dressings” was used. Half of the respondents reported antimicrobial prophylaxis was routinely prescribed for patients on ECMO, although specific regimens varied widely. Of the institutions, 34.2% reported sending daily blood cultures as part of routine surveillance. Smaller programs were more likely to send daily surveillance blood cultures (58.8%, P < .01). We found no clear consensus on practices used to prevent BSI in patients receiving ECMO.

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Withdrawing life support in Canada and the United States

JAMA ◽

10.1001/jama.274.5.384 ◽

1995 ◽

Vol 274 (5) ◽

pp. 384-384

Author(s):

L. A. Whittaker

Keyword(s):

United States ◽

Life Support ◽

The United States

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A case of vaping-induced acute respiratory distress syndrome requiring extracorporeal life support

Perfusion ◽

10.1177/0267659120925634 ◽

2020 ◽

pp. 026765912092563

Author(s):

Sudhir Krishnan ◽

Guramrinder Singh Thind ◽

Mona Soliman ◽

Leslie Tolle ◽

Eduardo Mireles-Cabodevila ◽

...

Keyword(s):

Acute Respiratory Distress Syndrome ◽

Lung Injury ◽

Respiratory Distress Syndrome ◽

Respiratory Distress ◽

Distress Syndrome ◽

Life Support ◽

Extracorporeal Life Support ◽

The United States ◽

Product Use

Introduction: An upsurge of e-cigarette, or vaping, product use–associated lung injury has been reported in the United States. The potential role of extracorporeal life support in e-cigarette, or vaping, product use–associated lung injury merits consideration. Case report: We present a case of vaping-induced severe acute respiratory distress syndrome that was salvaged with extracorporeal life support and had excellent recovery. Discussion: The mechanistic reasons for the sudden outbreak of e-cigarette, or vaping, product use–associated lung injury are under active investigation. A predominantly diffuse, bilateral pattern of lung injury has been reported, with some cases meeting the criteria for severe acute respiratory distress syndrome. To date, 68 deaths from e-cigarette, or vaping, product use–associated lung injury have been confirmed by the centers of disease control. However, resolution of lung injury has been reported in most cases, thereby justifying candidacy for extracorporeal life support, if required. Conclusion: Extracorporeal life support can be successfully utilized as a bridge to recovery in vaping-induced severe acute respiratory distress syndrome.

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