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The extracorporeal life support (ECLS) program at Arkansas Children's Hospital is one of the most advanced in the nation. The ECLS program incorporates cutting edge technology with the highest level of teamwork to provide life-saving support for the most critically ill children. At Arkansas Children's Hospital, ECLS includes the use of both ECMO (extracorporeal membrane oxygenation) and VAD (ventricular assist device) support. Since the inception of the program in 1989, ECLS at Arkansas Children's Hospital has contributed to life-saving care for hundreds of patients.
Among the national and international ECMO centers, ACH has one of the largest experiences to offer air transport of critically ill patients on an ECMO circuit. Mobile ECMO features include:
For ECMO support referrals, call Angel One Dispatch at 1-800-ACH-HELP. Ask to speak to the pediatric intensivist, cardiac intensivist or neonatologist on call, depending on the age of the child and primary problem.
The need to escalate to ECMO support can be a difficult decision for a referring physician. Arkansas Children’s Hospital has developed selection criteria to help guide you through this process. The decision to transfer to an ECMO center begins with early consultation to allow for logistics for transport. We hope the following information will help answer some of the questions your team may have. For an ECMO transport call 1-800-ACH-HELP.
The pediatric ECMO criteria have no hard set criteria, but here are some things to consider.
This is the most difficult population to give criteria for, the decision to place a pediatric cardiac patient on ECMO involves many factors. Echocardiography and Cath labs are great tools to help in this decision process, but we understand many centers may not have access to this equipment.
The following is a general list of the different type of cardiac patients that may be placed on ECMO support.