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Extracorporeal membrane oxygenation in pregnancy during the SARS-CoV-2 pandemic SARS-CoV-2大流行期间妊娠的体外膜氧合
IF 3 3区 医学
Seminars in Fetal & Neonatal Medicine Pub Date : 2023-02-01 DOI: 10.1016/j.siny.2023.101435
Michael Richley, Rashmi Rao
{"title":"Extracorporeal membrane oxygenation in pregnancy during the SARS-CoV-2 pandemic","authors":"Michael Richley, Rashmi Rao","doi":"10.1016/j.siny.2023.101435","DOIUrl":"10.1016/j.siny.2023.101435","url":null,"abstract":"","PeriodicalId":49547,"journal":{"name":"Seminars in Fetal & Neonatal Medicine","volume":"28 1","pages":"Article 101435"},"PeriodicalIF":3.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10073081/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9571163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Transmission of SARS-CoV-2 from mother to fetus or neonate: What to know and what to do? SARS-CoV-2从母亲传播给胎儿或新生儿:应该知道什么和做什么?
IF 3 3区 医学
Seminars in Fetal & Neonatal Medicine Pub Date : 2023-02-01 DOI: 10.1016/j.siny.2023.101429
Daniele De Luca , Christelle Vauloup-Fellous , Alexandra Benachi , Alexandre Vivanti
{"title":"Transmission of SARS-CoV-2 from mother to fetus or neonate: What to know and what to do?","authors":"Daniele De Luca ,&nbsp;Christelle Vauloup-Fellous ,&nbsp;Alexandra Benachi ,&nbsp;Alexandre Vivanti","doi":"10.1016/j.siny.2023.101429","DOIUrl":"10.1016/j.siny.2023.101429","url":null,"abstract":"<div><p>SARS-CoV-2 can be vertically transmitted from the mother to the fetus and the neonate. This transmission route is rare compared to the environmental or horizontal spread and therefore, the risk can be deemed inconsequential by some medical providers. However, severe, although just as rare, feto-neonatal consequences are possible: fetal demise, severe/critical neonatal COVID-19 and multi-inflammatory syndrome (MIS-N) have been described. Therefore, it is important for the clinicians to know the mechanism of vertical transmission, how to recognize this, and how to deal with neonatal COVID-19 and MIS-N. Our knowledge about this field has significantly increased in the last three years. This is a summary of the pathophysiology, diagnostics, and therapeutics of vertical SARS-CoV-2 transmission that clinicians apply in their clinical practice.</p></div>","PeriodicalId":49547,"journal":{"name":"Seminars in Fetal & Neonatal Medicine","volume":"28 1","pages":"Article 101429"},"PeriodicalIF":3.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10010052/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9576544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Expanding neonatal ECMO criteria: When is the premature neonate too premature 扩大新生儿ECMO标准:早产新生儿何时太过早
IF 3 3区 医学
Seminars in Fetal & Neonatal Medicine Pub Date : 2022-12-01 DOI: 10.1016/j.siny.2022.101403
K. Taylor Wild , Carmen Mesas Burgos , Natalie E. Rintoul
{"title":"Expanding neonatal ECMO criteria: When is the premature neonate too premature","authors":"K. Taylor Wild ,&nbsp;Carmen Mesas Burgos ,&nbsp;Natalie E. Rintoul","doi":"10.1016/j.siny.2022.101403","DOIUrl":"10.1016/j.siny.2022.101403","url":null,"abstract":"<div><p>Extracorporeal membrane oxygenation<span> (ECMO) is a universally accepted and life-saving therapy for neonates with respiratory or cardiac failure that is refractory to maximal medical management. Early studies found unacceptable risks of mortality and morbidities such as intracranial hemorrhage among premature and low birthweight neonates, leading to widely accepted ECMO inclusion criteria of gestational age ≥34 weeks and birthweight &gt;2 kg. Although contemporary data is lacking, the most recent literature demonstrates increased survival and decreased rates of intracranial hemorrhage in premature neonates who are supported with ECMO. As such, it seems like the right time to push the boundaries of ECMO on a case-by-case basis beginning with neonates 32–34 weeks GA in large volume centers with careful neurodevelopmental follow-up to better inform practices changes on this select population.</span></p></div>","PeriodicalId":49547,"journal":{"name":"Seminars in Fetal & Neonatal Medicine","volume":"27 6","pages":"Article 101403"},"PeriodicalIF":3.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10729446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Cannulation and decannulation techniques for neonatal ECMO 新生儿ECMO的插管和脱管技术
IF 3 3区 医学
Seminars in Fetal & Neonatal Medicine Pub Date : 2022-12-01 DOI: 10.1016/j.siny.2022.101404
Amanda R. Jensen , Carl Davis , Brian W. Gray
{"title":"Cannulation and decannulation techniques for neonatal ECMO","authors":"Amanda R. Jensen ,&nbsp;Carl Davis ,&nbsp;Brian W. Gray","doi":"10.1016/j.siny.2022.101404","DOIUrl":"10.1016/j.siny.2022.101404","url":null,"abstract":"<div><p><span>In neonates with cardiac and/or respiratory failure, extracorporeal membrane oxygenation<span><span> (ECMO) continues to be an important method of respiratory and/or cardiovascular support where conventional treatments are failing. ECMO </span>cannulation involves a complex decision-making process to choose the proper ECMO modality and cannulation strategy to match each patient's needs, unique </span></span>anatomy<span><span>, and potential complication profile. Initially, all ECMO support involved cannulating both the carotid artery and the </span>internal jugular vein<span><span><span> (IJV), known as veno-arterial (VA-ECMO) for cardiac and/or respiratory support. Rarely was cannulation through the chest used. The development of dual-lumen </span>cannulae<span> in the early to mid 1990s addressed the concerns about carotid artery ligation and its impact on neurological outcomes, and allowed single </span></span>vascular access for veno-venous respiratory support (VV-ECMO). We present a review of cannulation and decannulation techniques for both VA and VV-ECMO in neonates.</span></span></p></div>","PeriodicalId":49547,"journal":{"name":"Seminars in Fetal & Neonatal Medicine","volume":"27 6","pages":"Article 101404"},"PeriodicalIF":3.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10729448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Changing populations being treated with ECMO in the neonatal period – who are the others? 新生儿期ECMO治疗人群的变化-其他人群是谁?
IF 3 3区 医学
Seminars in Fetal & Neonatal Medicine Pub Date : 2022-12-01 DOI: 10.1016/j.siny.2022.101402
Allison T. Rose, Sarah Keene
{"title":"Changing populations being treated with ECMO in the neonatal period – who are the others?","authors":"Allison T. Rose,&nbsp;Sarah Keene","doi":"10.1016/j.siny.2022.101402","DOIUrl":"10.1016/j.siny.2022.101402","url":null,"abstract":"<div><p><span><span>Extracorporeal life support<span><span> via extracorporeal membrane oxygenation (ECMO) has served the sickest of neonates for almost 50 years. Naturally, the characteristics of neonates receiving ECMO have changed. Advances in care have averted the need for ECMO for some, while complex cases with uncertain outcomes, previously not eligible for ECMO, are now considered. Characterizing the disease states and outcomes for neonates on ECMO is challenging as many infants do not fall into classic categories, i.e. </span>meconium aspiration syndrome (MAS), </span></span>respiratory distress syndrome<span> (RDS), or congenital diaphragmatic hernia (CDH). Since 2017, over one third of neonatal respiratory ECMO runs reported to the Extracorporeal Life Support Organization Registry are grouped as </span></span><em>Other</em><span><span>, a catch-all that encompasses those with a diagnosis not included in the classic categories. This review summarizes the historical neonatal ECMO population, reviews advances in therapy and technology impacting </span>neonatal care, and addresses the unknowns in the ever-growing category of </span><em>Other.</em></p></div>","PeriodicalId":49547,"journal":{"name":"Seminars in Fetal & Neonatal Medicine","volume":"27 6","pages":"Article 101402"},"PeriodicalIF":3.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10360601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Management of the CDH patient on ECLS CDH患者对ECLS的处理
IF 3 3区 医学
Seminars in Fetal & Neonatal Medicine Pub Date : 2022-12-01 DOI: 10.1016/j.siny.2022.101407
Alice Martino , Gianluca Lista , Yigit S. Guner
{"title":"Management of the CDH patient on ECLS","authors":"Alice Martino ,&nbsp;Gianluca Lista ,&nbsp;Yigit S. Guner","doi":"10.1016/j.siny.2022.101407","DOIUrl":"10.1016/j.siny.2022.101407","url":null,"abstract":"<div><p><span>Congenital diaphragmatic hernia (CDH) is the most common indication for respiratory </span>extracorporeal life support<span> (ECLS) in neonates. The survival rate of CDH neonates treated with ECLS is 50%, and this figure has remained relatively stable over the last few decades. This is likely because the current population of CDH neonates who require ECLS have a higher risk profile [1]. The management of neonates with CDH has evolved over time to emphasize postnatal stabilization, gentle ventilation, and multi-modal treatment of pulmonary hypertension. In order to minimize practice variation, many centers have adopted CDH-specific clinical practice guidelines, however care is not standardized between different centers and outcomes vary [3]. The purpose of this review is to summarize our current understanding of issues central to the care of neonates with CDH treated with ECLS and specifically highlight how the use of the Extracorporeal Life Support Organization (ELSO) data have added to our understanding of CDH.</span></p></div>","PeriodicalId":49547,"journal":{"name":"Seminars in Fetal & Neonatal Medicine","volume":"27 6","pages":"Article 101407"},"PeriodicalIF":3.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10352836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Neonatal ECMO survivors: The late emergence of hidden morbidities – An unmet need for long-term follow-up 新生儿ECMO幸存者:隐蔽性疾病的晚期出现-长期随访的未满足需求
IF 3 3区 医学
Seminars in Fetal & Neonatal Medicine Pub Date : 2022-12-01 DOI: 10.1016/j.siny.2022.101409
Aparna Hoskote , Maayke Hunfeld , Maura O'Callaghan , Hanneke IJsselstijn
{"title":"Neonatal ECMO survivors: The late emergence of hidden morbidities – An unmet need for long-term follow-up","authors":"Aparna Hoskote ,&nbsp;Maayke Hunfeld ,&nbsp;Maura O'Callaghan ,&nbsp;Hanneke IJsselstijn","doi":"10.1016/j.siny.2022.101409","DOIUrl":"10.1016/j.siny.2022.101409","url":null,"abstract":"","PeriodicalId":49547,"journal":{"name":"Seminars in Fetal & Neonatal Medicine","volume":"27 6","pages":"Article 101409"},"PeriodicalIF":3.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10353326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Milestones for clinical translation of the artificial placenta 人工胎盘临床转化的里程碑
IF 3 3区 医学
Seminars in Fetal & Neonatal Medicine Pub Date : 2022-12-01 DOI: 10.1016/j.siny.2022.101408
Brianna L. Spencer , George B. Mychaliska
{"title":"Milestones for clinical translation of the artificial placenta","authors":"Brianna L. Spencer ,&nbsp;George B. Mychaliska","doi":"10.1016/j.siny.2022.101408","DOIUrl":"10.1016/j.siny.2022.101408","url":null,"abstract":"<div><p><span><span><span>Despite significant advances in the treatment of prematurity, premature birth results in significant mortality and morbidity. In particular, extremely low gestational age </span>newborns<span> (ELGANs) defined as &lt;28 weeks estimated gestational age (EGA) suffer from disproportionate mortality and morbidity. A radical paradigm shift in the treatment of prematurity is to recreate fetal physiology<span><span> using an extracorporeal VV-ECLS artificial </span>placenta<span> (AP) or an AV-ECLS artificial womb (AW). Over the past 15 years, tremendous advances have been made in the laboratory confirming long-term support and organ protection and ongoing development. The major milestones to clinical application are miniaturization, </span></span></span></span>anticoagulation, clinical </span>risk stratification, specialized critical care protocols, a regulatory path and a strategy and platform to translate technology to the bedside. Currently, several groups are addressing the remaining milestones for clinical translation.</p></div>","PeriodicalId":49547,"journal":{"name":"Seminars in Fetal & Neonatal Medicine","volume":"27 6","pages":"Article 101408"},"PeriodicalIF":3.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10729447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Coagulation and hemolysis complications in neonatal ECLS: Role of devices 新生儿ECLS的凝血和溶血并发症:设备的作用
IF 3 3区 医学
Seminars in Fetal & Neonatal Medicine Pub Date : 2022-12-01 DOI: 10.1016/j.siny.2022.101405
Timothy M. Maul , Guillermo Herrera
{"title":"Coagulation and hemolysis complications in neonatal ECLS: Role of devices","authors":"Timothy M. Maul ,&nbsp;Guillermo Herrera","doi":"10.1016/j.siny.2022.101405","DOIUrl":"10.1016/j.siny.2022.101405","url":null,"abstract":"<div><p><span>Neonatal extracorporeal life support<span><span> (ECLS) has enjoyed a long history of successful patient support for both cardiac and respiratory failure. The small size of this patient population has provided many technical challenges from cannulation to pumps and </span>oxygenators. This is further complicated by the relatively meager commercial options for equipment owing to the relatively low utilization of neonatal ECLS compared to adults, which has exploded following the </span></span>H1N1 epidemic and the availability of the polymethylpentene oxygenator. This paper focuses on the impact of equipment choices on thrombosis and hemolysis in neonatal ECLS and the underlying mechanisms behind them. Based upon the available evidence, it is clear neonatal ECLS requires careful attention to the selection and operation of all parts of the ECLS system. Practitioners should also be aware of the factors that increase blood cell fragility, which can impact decisions around equipment and subsequent operation.</p></div>","PeriodicalId":49547,"journal":{"name":"Seminars in Fetal & Neonatal Medicine","volume":"27 6","pages":"Article 101405"},"PeriodicalIF":3.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10729449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Prenatal management of congenital diaphragmatic hernia 先天性膈疝的产前处理
IF 3 3区 医学
Seminars in Fetal & Neonatal Medicine Pub Date : 2022-12-01 DOI: 10.1016/j.siny.2022.101406
Enrico Danzer , Natalie E. Rintoul , Krisa P. van Meurs , Jan Deprest
{"title":"Prenatal management of congenital diaphragmatic hernia","authors":"Enrico Danzer ,&nbsp;Natalie E. Rintoul ,&nbsp;Krisa P. van Meurs ,&nbsp;Jan Deprest","doi":"10.1016/j.siny.2022.101406","DOIUrl":"10.1016/j.siny.2022.101406","url":null,"abstract":"<div><p><span>Recently, two randomized controlled, prospective trials, the Tracheal Occlusion to Accelerate Lung Growth (TOTAL) trials, reported the outcomes on fetal endoluminal tracheal occlusion (FETO) for isolated left congenital diaphragmatic hernia (CDH). FETO significantly improved outcomes for severe </span>hypoplasia<span><span>. The effect in moderate cases, where the balloon was inserted later in pregnancy, did not reach significance. In a pooled analysis investigating the effect of the heterogeneity of the treatment<span> effect by the time point of occlusion and severity, the difference may be explained by a difference in the duration of occlusion. Nevertheless, FETO carries a significant risk of preterm birth. The primary objective of this review is to provide an overview of the rationale for </span></span>fetal intervention in CDH and the results of the randomized trials. The secondary objective is to discuss the technical aspects of FETO. Finally, recent developments of potential alternative fetal approaches will be highlighted.</span></p></div>","PeriodicalId":49547,"journal":{"name":"Seminars in Fetal & Neonatal Medicine","volume":"27 6","pages":"Article 101406"},"PeriodicalIF":3.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10353327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
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