Transcript A Novel Micro ECMO (MECMO) Circuit Decreases Bleeding and

A Novel Micro ECMO
(MECMO) Circuit Decreases
Bleeding and Allows for Easier
Transportation
Montefiore Medical Center
The Childrens Hospital at Montefiore
New York, NY 10467
Goals of MECMO Circuit

Decrease surface area

Decrease prime volume

Decrease blood product requirements

Minimize bleeding and thrombosis

Allow for safe transport of circuit
Circuit Revisions

Change in oxygenator

Decreased length and diameter of tubing (1/4 inch to
3/16 inch)

Elimination of components without a biocompatible
surface coating
MECMO Setup
Comparison of ECMO Circuits
72 Hour Blood Product Administration, Bleeding, Heparin Dosing, and Thrombosis
Old ECMO
"Micro ECMO"
(n=3)
(n=3)
Weight (kg)
4.79 ± 2.3
5.87 ± .02
Albumin (mL/kg)
47.69 ± 11.8
7.65 ± 6.62
Red Blood Cells (mL/kg)
83.73 ± 20.18
60.24 ± 19.88
Fresh Frozen Plasma (mL/kg)
12.24 ± 3.24
3.4 ± 5.88
Platelets (mL/kg)
50.13 ± 24.09
44.99 ± 10.3
Cryoprecipitate (mL/kg)
5.14 ± 4.77
0
Total Blood Products (mL/kg)
199.18 ± 38.56
116.27 ± 32.16
Blood Loss (mL/kg)
Total Heparin (units/kg)
Thrombosis Requiring Circuit Change
29.08 ± 12.32
14.2 ± 3.23
251 ± 265
334 ± 291
1
1
Transportation
Conclusions

In patients less than 10kg there was less blood loss
and decreased blood product requirements within
first 72 hours of surgery.

No difference in thrombosis or circuit change

Console can be mounted to patient bed or pole
allowing for easier transport.