title: Pump controlled retrograde trial off from VA-ECMO.
abstract: We describe our novel technique of Pump Controlled Retrograde Trial Off that relies on the retrograde flow to maintain circuit integrity and allow a longer trial off from venoarterial extracorporeal membrane oxygenation support without circuit clot formation or significant patient hemodynamic compromise. This technique avoids the insertion of an arteriovenous bridge and the need to clamp the circuit. We present data on five neonatal patients who were trialled off using this method.
authors.affiliation: Heartlink ECMO Centre, Glenfield Hospital, Leicester, United Kingdom. Claire.westrope@uhl-tr.nhs.uk
authors.forename: Claire
authors.initials: C
authors.lastname: Westrope
authors.forename: Christopher
authors.initials: C
authors.lastname: Harvey
authors.forename: Simon
authors.initials: S
authors.lastname: Robinson
authors.forename: Simone
authors.initials: S
authors.lastname: Speggiorin
authors.forename: Gail
authors.initials: G
authors.lastname: Faulkner
authors.forename: Giles J
authors.initials: GJ
authors.lastname: Peek
mesh_terms: D001794:Blood Pressure; D004867:Equipment Design; D015199:Extracorporeal Membrane Oxygenation / Q000295:instrumentation* / Q000379:methods*; D006439:Hemodynamics; D006801:Humans; D007231:Infant, Newborn; D019344:Lactic Acid / Q000097:blood; D008471:Meconium Aspiration Syndrome / Q000628:therapy; D009359:Neonatology / Q000379:methods; D010547:Persistent Fetal Circulation Syndrome / Q000628:therapy; D011014:Pneumonia / Q000628:therapy; D012121:Respiration, Artificial; D018357:Respiratory Syncytial Virus Infections / Q000628:therapy; D016896:Treatment Outcome; D015300:Ventilator Weaning / Q000379:methods*
chemical_list: D019344:Lactic Acid