title: Cost-effective usage of membrane oxygenators in extracorporeal membrane oxygenation in infants.
abstract: Although the poly-methylpentene (PMP) oxygenators have significant advantages in ECMO implementation, their usage may be limited in some situations, which may be related to economic constraints. In this report, we aimed to emphasize our cost-effective usage of a membrane oxygenator at the ECMO setup. We implemented ECMO with eight Capiox® FX05 or Baby RX05 hollow-fiber membrane oxygenators in five neonatal patients. The average ECMO duration was 121 hours (ranging from 41 to 272 hours). Following the termination of the ECMO, the system was broken down into its components for macroscopic analysis. Neither gross blood clots nor plasma leakage were observed in any of the components. The integration of a centrifugal pump and a separate hollow-fiber oxygenator may provide a cost-effective ECMO implementation setup with no adverse effects which may be an encouraging alternative for the low cost usage of ECMO in neonates.
authors: Department of Cardiovascular Surgery, Medipol University, Istanbul, Turkey ozyukselarda@yahoo.com.
authors: A
authors: A
authors: Özyüksel
authors: Department of Cardiovascular Surgery, Medipol University, Istanbul, Turkey.
authors: C
authors: C
authors: Ersoy
authors: Department of Cardiovascular Surgery, Medipol University, Istanbul, Turkey.
authors: A
authors: A
authors: Akçevin
authors: Department of Cardiovascular Surgery, Medipol University, Istanbul, Turkey.
authors: H
authors: H
authors: Türkoğlu
authors: Department of Cardiovascular Surgery, Medipol University, Istanbul, Turkey.
authors: A E
authors: AE
authors: Çiçek
authors: Department of Cardiovascular Surgery, Medipol University, Istanbul, Turkey.
authors: A
authors: A
authors: Kahraman
authors: Department of Cardiovascular Surgery, Medipol University, Istanbul, Turkey.
authors: B
authors: B
authors: Kayhan
authors: Department of Cardiovascular Surgery, Medipol University, Istanbul, Turkey.
authors: E
authors: E
authors: Cantürk
mesh_terms: D015199:Extracorporeal Membrane Oxygenation / Q000191:economics / Q000295:instrumentation* / Q000379:methods*; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D012189:Retrospective Studies
keywords: centrifugal pump; congenital heart defect; extracorporeal membrane oxygenation; infant; oxygenator