title: [Current state of neonatal extracorporeal membrane oxygenation in Colombia: description of the first cases].
abstract: Extracorporeal membrane oxygenation is considered a rescue therapy and complex vital support with benefits in cardiorespiratory diseases during neonatal period that fulfil the characteristics of being reversible in neonates older than 34 weeks. The criteria for patient selection and its prompt use are critical for the final result. Even though new alternatives for management of hypoxemic respiratory failure in full term and almost full term neonates have decreased its use, congenital diaphragmatic hernia continues being a complex disease where it can have some applicability. Even though our experience is beginning, constant training will make of extracorporeal membrane oxygenation an option for complex patients in whom maximum therapy fails. This is a report of the first neonatal cases of hypoxemic respiratory failure managed at Fundación Cardiovascular de Colombia.
authors.affiliation: Área de Investigación en Pediatría, Unidad Neonatal, Fundación Cardiovascular de Colombia, Floridablanca, Colombia. Electronic address: jorgealso2@yahoo.com.
authors.forename: Jorge Luis
authors.initials: JL
authors.lastname: Alvarado-Socarrás
authors.affiliation: Área de Investigación en Pediatría, Unidad Neonatal, Fundación Cardiovascular de Colombia, Floridablanca, Colombia.
authors.forename: Carolina
authors.initials: C
authors.lastname: Gómez
authors.affiliation: Área de Investigación en Pediatría, Unidad Neonatal, Fundación Cardiovascular de Colombia, Floridablanca, Colombia.
authors.forename: Andrea
authors.initials: A
authors.lastname: Gómez
authors.affiliation: Área de Investigación en Pediatría, Unidad Neonatal, Fundación Cardiovascular de Colombia, Floridablanca, Colombia.
authors.forename: Mónica
authors.initials: M
authors.lastname: Cruz
authors.affiliation: Área de Investigación en Pediatría, Unidad Neonatal, Fundación Cardiovascular de Colombia, Floridablanca, Colombia.
authors.forename: Gustavo Adolfo
authors.initials: GA
authors.lastname: Díaz-Silva
authors.affiliation: Área de Investigación en Pediatría, Unidad Neonatal, Fundación Cardiovascular de Colombia, Floridablanca, Colombia.
authors.forename: María Azucena
authors.initials: MA
authors.lastname: Niño
mesh_terms: D001424:Bacterial Infections / Q000517:prevention & control; D003105:Colombia; D015199:Extracorporeal Membrane Oxygenation / Q000009:adverse effects / Q000379:methods*; D017809:Fatal Outcome; D005260:Female; D065630:Hernias, Diaphragmatic, Congenital / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D008471:Meconium Aspiration Syndrome / Q000150:complications*; D018579:Patient Selection; D015397:Program Evaluation; D011859:Radiography; D012127:Respiratory Distress Syndrome, Newborn / Q000209:etiology / Q000628:therapy*; D012131:Respiratory Insufficiency / Q000209:etiology / Q000628:therapy*
keywords: Colombia; Diaphragmatic hernia; Extracorporeal membrane oxygenation; Falla respiratoria hipoxémica; Hernia diafragmática; Hypoxemic respiratory failure; Meconium aspiration syndrome; Neonates; Neonatos; Oxigenación de membrana extracorpórea; Síndrome de aspiración meconial