Survey of ECMO practices for infants with hypoxic ischemic encephalopathy

Mark F. Weems, Kirtikumar Upadhyay, Hitesh Sandhu

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective: 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. Study design: 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. Result: 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. Conclusion: 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.

Original languageEnglish (US)
Pages (from-to)1197-1204
Number of pages8
JournalJournal of Perinatology
Volume38
Issue number9
DOIs
StatePublished - Sep 1 2018

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Brain Hypoxia-Ischemia
Extracorporeal Membrane Oxygenation
Brain Diseases
Induced Hypothermia
Surveys and Questionnaires
Physician Executives
Physicians
Hypothermia
Canada

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

Cite this

Survey of ECMO practices for infants with hypoxic ischemic encephalopathy. / Weems, Mark F.; Upadhyay, Kirtikumar; Sandhu, Hitesh.

In: Journal of Perinatology, Vol. 38, No. 9, 01.09.2018, p. 1197-1204.

Research output: Contribution to journalArticle

Weems, Mark F. ; Upadhyay, Kirtikumar ; Sandhu, Hitesh. / Survey of ECMO practices for infants with hypoxic ischemic encephalopathy. In: Journal of Perinatology. 2018 ; Vol. 38, No. 9. pp. 1197-1204.
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