Survey of ECMO practices for infants with hypoxic ischemic encephalopathy
| Autor: | Mark F. Weems, Hitesh S. Sandhu, Kirtikumar Upadhyay |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Canada
medicine.medical_specialty medicine.medical_treatment Encephalopathy Severity of Illness Index Hypoxic Ischemic Encephalopathy 03 medical and health sciences Extracorporeal Membrane Oxygenation 0302 clinical medicine Neonatologists Hypothermia Induced Surveys and Questionnaires 030225 pediatrics Severity of illness medicine Extracorporeal membrane oxygenation Humans 030212 general & internal medicine Practice Patterns Physicians' Response rate (survey) Neonatal encephalopathy business.industry Cooling therapy Infant Newborn Obstetrics and Gynecology Hypothermia medicine.disease United States Logistic Models surgical procedures operative Hypoxia-Ischemia Brain Pediatrics Perinatology and Child Health Emergency medicine medicine.symptom business |
| Zdroj: | Journal of Perinatology. 38:1197-1204 |
| ISSN: | 1476-5543 0743-8346 |
| DOI: | 10.1038/s41372-018-0167-y |
| Popis: | Historically, some physicians are reluctant to offer extracorporeal membrane oxygenation (ECMO) to infants with neonatal encephalopathy. This study describes how ECMO practices have changed since the development of therapeutic hypothermia (TH) for neonatal encephalopathy. A 22-question electronic survey was sent to neonatal medical directors and ECMO directors in the USA and Canada. Participants were queried on TH and ECMO practices and if they would offer ECMO given certain clinical factors; confidential responses were compared with a similar survey conducted in 2008. A total of 356 physicians were invited to participate, and the response rate was 25%. Seventy-two percent had initiated or referred for ECMO during cooling therapy. Compared with the 2008 survey, participants were more likely to offer ECMO for moderate and severe encephalopathy. Ninety-four percent offer hypothermia for neonatal encephalopathy, but only 24% have written ECMO criteria for such patients. Neonatologists were more likely than non-neonatologists to offer ECMO for mild and moderate encephalopathy. ECMO use with neonatal encephalopathy has increased since TH has become standard care. Wide variability in practice remains with important differences between neonatologists and non-neonatologists. |
| Databáze: | OpenAIRE |
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