title: [Establishment of a Neonatal ECMO Programme on the Basis of a Special Training Programme--A 6-year Analysis].
abstract: BACKGROUND
  Internationally the need for neonatal ECMO is decreasing and the Extracorporeal Life Support Organization (ELSO) recommends that centres providing neonatal ECMO should treat at least 6 children per year.
  
  
  METHODS
  After a one-year training programme and preparation of the clinical application, neonatal ECMO was established and subsequently 41 infants [median age 1 day (1-172 days), median weight 3.25 kg (1.27-5.79 kg)] with severe respiratory failure have been treated within a 6-year period (fall 2008-fall 2014). For rescue therapy we provide inhaled nitric oxide, high-frequency oscillation and other differentiated ventilator strategies. Parallel to the clinical use of ECMO all employees have been trained in a special programme at 3-monthly intervals.
  
  
  RESULTS
  By establishing an elaborate training programme and concentrating the treatment of critically ill newborns in one centre, the expertise of both running and preventing of neonatal ECMO due to pulmonary failure can be achieved. The diagnoses correlate to those of other centres which perform neonatal ECMO. 13 infants needed ECMO. The resulting overall survival rate was 11/12 (91.7%) infants treated with ECMO with a curative approach. All patients could be weaned from ECMO.
  
  
  CONCLUSIONS
  In the context of a specialised university hospital with all treatment options for critically ill newborns and with the establishment of a specialised training programme, neonatal ECMO for pulmonary failure can achieve equally good results in comparison to those of national and international ECMO centres.
authors.affiliation: Kinderklinik und Kinderpoliklinik im Dr. von Haunerschen Kinderspital am Klinikum der Universität, Neonatologie der Kinderklinik am Perinatalzentrum der LMU München, Campus Großhadern, München.
authors.forename: K M
authors.initials: KM
authors.lastname: Förster
authors.affiliation: Kinderklinik und Kinderpoliklinik im Dr. von Haunerschen Kinderspital am Klinikum der Universität, Neonatologie der Kinderklinik am Perinatalzentrum der LMU München, Campus Großhadern, München.
authors.forename: S
authors.initials: S
authors.lastname: Herber-Jonat
authors.affiliation: Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe am Klinikum der Universität, Perinatalzentrum der LMU München, Campus Großhadern, München.
authors.forename: C
authors.initials: C
authors.lastname: Huebener
authors.affiliation: Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe am Klinikum der Universität, Perinatalzentrum der LMU München, Campus Großhadern, München.
authors.forename: U
authors.initials: U
authors.lastname: Hasbargen
authors.affiliation: Herzchirurgische Klinik und Poliklinik am Klinikum der Universität, München.
authors.forename: C
authors.initials: C
authors.lastname: Schmitz
authors.affiliation: Herzchirurgische Klinik und Poliklinik am Klinikum der Universität, München.
authors.forename: R
authors.initials: R
authors.lastname: Schramm
authors.affiliation: Kinderchirurgische Klinik und Poliklinik im Dr. von Haunerschen Kinderspital am Klinikum der Universität, München.
authors.forename: M
authors.initials: M
authors.lastname: Lehner
authors.affiliation: Klinik für Kinderchirurgie und Kinderurologie, Cnopf'sche Kinderklinik/Klinik Hallerwiese, Nürnberg.
authors.forename: M
authors.initials: M
authors.lastname: Stehr
authors.affiliation: Kinderklinik und Kinderpoliklinik im Dr. von Haunerschen Kinderspital am Klinikum der Universität, Neonatologie der Kinderklinik am Perinatalzentrum der LMU München, Campus Großhadern, München.
authors.forename: A
authors.initials: A
authors.lastname: Schulze
authors.affiliation: Kinderklinik und Kinderpoliklinik im Dr. von Haunerschen Kinderspital am Klinikum der Universität, Neonatologie der Kinderklinik am Perinatalzentrum der LMU München, Campus Großhadern, München.
authors.forename: A W
authors.initials: AW
authors.lastname: Flemmer
mesh_terms: D002983:Clinical Competence / Q000706:statistics & numerical data*; D003479:Curriculum; D004521:Educational Measurement / Q000706:statistics & numerical data; D015199:Extracorporeal Membrane Oxygenation / Q000193:education* / Q000401:mortality*; D005858:Germany; D009359:Neonatology / Q000193:education*; D015995:Prevalence; D012127:Respiratory Distress Syndrome, Newborn / Q000401:mortality* / Q000628:therapy*; D012307:Risk Factors; D015996:Survival Rate; D013663:Teaching / Q000379:methods; D016896:Treatment Outcome