Successful Use of Extracorporeal Membrane Oxygenation in a Neonate With Arterial pH Less Than 6.6. (July 2015)

• Record Type: Journal Article
• Authors: Boon Lim, Joel Kian; Lee, Jan Hau; Mok, Yee Hui; Chan, Yoke Hwee
• Is Part Of: World journal for pediatric & congenital heart surgery. Volume 6:Number 3(2015:Jul.)
• Page Start: 466
• Page End: 469
• Publication Date: 2015-07
• Subjects: extracorporeal membrane oxygenation -- persistent pulmonary hypertension -- acidosis -- neonate; Pediatric cardiology -- Periodicals; Congenital heart disease in children -- Periodicals; Heart -- Abnormalities -- Surgery -- Periodicals; Heart -- Surgery -- Periodicals; Heart Defects, Congenital -- surgery -- Periodicals; Cardiac Surgical Procedures -- Periodicals; Child -- Periodicals; Adult -- Periodicals; 618.9212
• DOI: 10.1177/2150135114558849
• Languages: English
• ISSNs: 2150-1351

Abstract

Challenges in extracorporeal membrane oxygenation (ECMO) support include defining appropriate patient selection criteria and prognostic factors. Severe acidosis prior to ECMO deployment is often considered a relative contraindication and an independent predictor of mortality. We present a case of a term infant, with persistent pulmonary hypertension of the newborn with severe pre-ECMO acidosis (arterial blood pH 6.596) in whom venoarterial ECMO was instituted successfully without major circuit or patient-associated complications. At seven months of age, he exhibited age-appropriate neurodevelopmental milestones. We therefore report this instance of successful use of ECMO in the setting of extreme acidosis.