Ambulatory ECMO as a bridge to lung transplant in a previously well pediatric patient with ARDS.

Journal Article (Journal Article)

Extracorporeal membrane oxygenation (ECMO) is increasingly implemented in patients with end-stage pulmonary disease as a bridge to lung transplant. Several centers have instituted an approach that involves physical rehabilitation and ambulation for patients supported with ECMO. Recent reports describe the successful use of ambulatory ECMO in patients with chronic respiratory illnesses being bridged to lung transplant. We describe the first case of a previously healthy pediatric patient with acute respiratory failure successfully supported with ambulatory ECMO as a bridge to lung transplant after an unsuccessful bridge to recovery. Although there are challenges associated with awake and ambulatory ECMO in children, this strategy represents an exciting breakthrough and a potential paradigm shift in ECMO management for pediatric acute respiratory failure.

Full Text

Duke Authors

Cited Authors

  • Turner, DA; Rehder, KJ; Bonadonna, D; Gray, A; Lin, S; Zaas, D; Cheifetz, IM

Published Date

  • August 2014

Published In

Volume / Issue

  • 134 / 2

Start / End Page

  • e583 - e585

PubMed ID

  • 25049344

Electronic International Standard Serial Number (EISSN)

  • 1098-4275

Digital Object Identifier (DOI)

  • 10.1542/peds.2013-3435


  • eng

Conference Location

  • United States