Risk factors for hemolysis with centrifugal pumps in pediatric extracorporeal membrane oxygenation: Is pump replacement an answer?

Introduction: Hemolysis during pediatric extracorporeal membrane oxygenation (ECMO) is associated with increased risk for renal failure and mortality.

Objectives: We aim to describe risk factors for hemolysis in pediatric ECMO supported by centrifugal pumps.

Methods: We conducted an analysis of retrospective data collected at an academic children's hospital from January 2017 to December 2019.

Flow Monitoring of ECMO Circuit for Detecting Oxygenator Obstructions.

Oxygenator thrombosis during extracorporeal membrane oxygenation (ECMO), is a complication that necessitates component replacement. ECMO centers monitor clot burden by intermittent measurement of pressure drop across the oxygenator. An increase in pressure drop at a preset flow rate suggests an increase in resistance/clot formation within the oxygenator.

Electrochemical Approach to Measure Physiological Fluid Flow Rates.

measurement of the flow rate of physiological fluids such as the blood flow rate in the heart is vital in critically ill patients and for those undergoing surgical procedures. The reliability of these measurements is therefore quite crucial. However, current methods in practice for measuring flow rates of physiological fluids suffer from poor repeatability and reliability.

Accuracy of detecting enlargement of aneurysms using different MRI modalities and measurement protocols.

Objective: Aneurysm growth is considered predictive of future rupture of intracranial aneurysms. However, how accurately neuroradiologists can reliably detect incremental aneurysm growth using clinical MRI is still unknown. The purpose of this study was to assess the agreement rate of detecting aneurysm enlargement employing generally used MRI modalities.