id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-016248-dxk0i6t7	Papa, Joey C.	Extracorporeal Membrane Oxygenation	2009		.txt	text/plain	6907	357	49	Indications for support in patients with cardiac pathology are based on clinical signs of decreased peripheral perfusion, including hypotension, despite the administration of fl uid resuscitation and inotropes, oliguria (urine output < 0.5 ml/kg/h), an elevated arterial lactate, and a decreased SvO 2 . The advantages of VV and DLVV over VA ECMO include avoidance of arterial cannulation and permanent ligation of the carotid artery, maintaining pulsatile fl ow to the patient, continued blood fl ow to the lungs, and avoiding arterial emboli. Weaning and Decannulation: As the patient's underlying process improves, less blood fl ow is required to pass through the ECMO circuit in order to maintain adequate tissue oxygenation. According to the 2005 ELSO registry, 13.2% of neonates and 43% of pediatric patients treated with ECMO for respiratory failure required the use of inotropes while on bypass. The incidence of acute renal failure was 10% in neonates and 14% in pediatric patients on ECMO for respiratory support, with 10-15% requiring hemofi ltration or dialysis.	./cache/cord-016248-dxk0i6t7.txt	./txt/cord-016248-dxk0i6t7.txt