How we provide transfusion support for neonatal and pediatric patients on extracorporeal membrane oxygenation

Transfusion
Shan YuanRobert B Kelly

Abstract

Extracorporeal membrane oxygenation (ECMO) provides lifesaving hemodynamic and respiratory support to neonatal and pediatric patients with a variety of congenital or acquired cardiopulmonary defects. Successful ECMO support requires close collaboration among multiple services, including critical care medicine, perfusion, and transfusion medicine services. Neonatal and pediatric ECMO patients require significant transfusion support, both at the time of cannulation and after the ECMO circuit has been established, often with little advance notice. Thus a number of communication and logistic issues must be addressed through a multidisciplinary approach to ensure both good patient outcome and judicious use of resources. In this article, we describe our protocol for transfusion support for ECMO and potential ECMO patients, which was developed to address a number of issues, including identifying and stratifiying ECMO candidate patients, streamlining the ordering and communication processes, and improving blood product turnaround times and availability. Additional measures of quality improvement are also discussed. As the number of centers performing ECMO procedures remains high, we believe that our experience may be of interest to our...Continue Reading

References

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Jan 30, 2009·Transfusion·M Lynn DohnerRobert D Christensen
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Citations

Aug 20, 2014·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Richard T FiserHoward L Corwin
Nov 6, 2014·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Allan Doctor
Sep 11, 2019·Current Opinion in Hematology·Ravi Mangal Patel, Cassandra Josephson
Feb 26, 2013·British Journal of Haematology·Yaser A DiabNaomi L C Luban
Apr 20, 2014·The International Journal of Artificial Organs·Marcela Henríquez-HenríquezJaime Pereira
Jan 1, 2013·Réanimation : Journal De La Société De Réanimation De Langue Française·S Renolleau

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