What are baseline criteria for extracorporeal membrane oxygenation (ECMO) in the treatment of persistent pulmonary hypertension of the newborn (PPHN)?

Updated: Sep 03, 2019
  • Author: Kate A Tauber, MD; Chief Editor: Howard S Weber, MD, FSCAI  more...
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Answer

Answer

Baseline criteria for consideration for ECMO include an evaluation of risk factors, because of the invasive nature of the therapy and a need for heparinization.

Baseline criteria for newborns considered for ECMO are generally as follows:

  • Gestation of more than 34 weeks

  • Weight more than 2000 g

  • No major intracranial hemorrhage on cranial sonograms (ie, larger than a grade II hemorrhage)

  • Reversible lung disease

  • No evidence of lethal congenital anomalies or congenital heart disease resulting in hypoxemia that is clinically presenting similar to PPHN


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