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Pediatric Critical Care Fellowship
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Extracorporeal Membrane Oxygenation (ECMO)
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Patients with severe life threatening cardiopulmonary failure have been managed with ECMO at Vanderbilt University Medical Center for more than 20 years. During this time, we have been a member of the Extracorporeal Life Support Organization (ELSO) that provides an important network of ECMO centers with the goal of collaborative discovery and problem solving. Patients range from neonates to young adults with the preponderance of support today in the post cardiopulmonary bypass population after corrective congenital cardiac surgery.

We care for more than 50 cases a year; the majority of patients are in the Pediatric Intensive Care Unit. We have received an ELSO Center of Excellence Award. Patients are also referred to Vanderbilt Medical Center for ECMO support from referral hospitals, and we provide an important referral destination within the Southeastern U.S. region in collaboration with other nearby centers of the ELSO network.

The patient management team consists of bedside ECMO specialists, bedside ICU nursing staff, respiratory therapists, nutritionists, pharmacists, child life specialists, and Intensive Care Unit physicians and surgeons. Multidisciplinary team rounds are led by the ICU staff and incorporate the expertise of the entire team in clinical decision making and bedside management.

Geoffrey Fleming, M.D., a member of the PCCU faculty, serves as medical director for Pediatric ECMO, assisting the ECMO team in delivery of life support services.

Pediatric Critical Care fellows gain extensive and valuable experience in the management of patients on ECMO for a wide variety of clinical etiologies including respiratory failure, cardiac failure after cardiopulmonary bypass, primary cardiac failure awaiting transplantation and severe sepsis with multiple organ failure. The educational experience of PCCU fellows is augmented by a yearly ECMO Symposium and "wet-lab" experiences.

For more information, visit childrenshospital.vanderbilt.org/ecmo.



 
Vanderbilt University School Of Medicine
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Department of Pediatrics | 2200 Children's Way | Nashville, Tenn. 37232 | 615.936.1000
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Monroe Carrell Jr. Children's Hospital at Vanderbilt