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KMID : 0438520090160010064
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Journal of the Korean Society of Neonatology
2009 Volume.16 No. 1 p.64 ~ p.70
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Four Cases of Extracorporeal Membrane Oxygenation for Congenital Diaphragmatic Hernia
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Kim Bo-Eun
Ha Eun-Ju
Kim Young-A
Kim Seong-Guk
Park Jeong-Jun
Yun Tea-Jin
Kim Dae-Yeon
Kim Seong-Chul
Lee Byong-Sop
Kim Ai-Rhan
Kim Ki-Soo
Pi Soo-Young
Park Seong-Jong
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Abstract
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Congenital diaphragmatic hernia (CDH) with severe pulmonary hypoplasia is associated with significant mortality. Recently, several new therapeutic methods have been suggested, such as high- frequency oscillatory ventilation and inhaled nitric oxide. For hypoxemic respiratory failure unresponsive to these advanced medical treatment options, extracorporeal membrane oxygenation (ECMO) serves as the last potentially effective treatment. An understanding of the pathophysiology of pulmonary hypertension associated with CDH led to a strategy involving preoperative stabilization and delayed surgical intervention with ECMO. We describe four cases of ECMO, including the first report of ECMO for neonatal CDH in Korea.
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KEYWORD
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Congenital diaphragmatic hernia, Extracorporeal membrane oxygenation, Re-spiratory failure, pulmonary hypertension
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