Q:

Indications for ECMO include:

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Indications for ECMO include:


  1. Newborn infants with pulmonary hypoplasia secondary to congenital diaphragmatic hernia.
  2. Meconium aspiration syndrome in full-term babies (at least 35 weeks).
  3. Children with pulmonary infection after bone marrow transplantation.
  4. Adults with acute viral pneumonia.
  5. Adults requiring mechanical ventilation and 100% oxygen for 2 weeks or longer.

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B. Meconium aspiration syndrome in full-term babies (at least 35 weeks).

D. Adults with acute viral pneumonia.

DISCUSSION: At present ECMO is not used for infants smaller than 1500 gm. because of a high risk of intracranial bleeding. ECMO is very successful in the treatment of respiratory failure in full-term newborn infants. Immunosuppression is a relative contraindication to ECMO. ECMO is indicated in adults with acute, potentially reversible respiratory failure, but mechanical ventilation and high oxygen concentration for more than 10 days are contraindications. 

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