Extracorporal membrane oxygenation in pediatrics and the neonatology

The main indication to application of EMO for children are congenital heart diseases, congenital diaphragmatic hernia, persistent pulmonary hypertension, refractory septic shock and a severe cardiac failure after a cardiac arrest. EMO is most effective at children of early age who have only an isolated damage of lungs or refractory hypoxemic respiratory insufficiency. Application of EMO is especially justified at early stages of a disease when chances of recovery of the patient are rather high. The main iatrogenic restriction to application of EMO is invasive mechanical ventilation of lungs within 14 and more days. The absence not only material support and the prepared highly skilled personnel, but also concrete knowledge of opportunities of this method of treatment is the most frequent reason for refusal of use of EMO in routine practice. As the potential prospects of development of EMO in children of the Russian Federation it is necessary to consider holding the organizational and methodical actions directed to widespread introduction of EMO in clinical practice and assessment of its efficiency of e of patients of children’s age. Optimal variants of a solution represent development of National clinical recommendations about EMO at children and creation of Federal exit pediatric service of extracorporeal membrane oxygenation.