Past, present and future of ECMOThe ratio of oxygen delivery to consumption. Hirschl is a General Surgeon in Ann Arbor, MI. Jeffrey Punch, Dr. Currently we average 100+ patients per year. September 28, 2023. Lexington, SC 29072. 1. Robert Bartlett, MD Collegiate Professor of Pediatric Surgery. ELSO was founded in 1989 by Robert H. Felicia Ivascu, received her training at the University of Michigan under the guidance of Dr. com, Elsevier’s leading platform of peer-reviewed scholarly literature. For early-adopting centres, the cumulative incidence of in-hospital mortality 90 days after ECMO initiation was 36·9% (95% CI 34·1–39·7) in patients who started ECMO on or before May 1 (group A1) versus 51·9% (50·0–53·8) after May 1. Robert Bartlett, Robert Hooke and more. Hsieh Forbes Column: "Dr. Robert Bartlett). Methods We presented three neonates with PPHN supported by ECMO in our center. He pioneered extracorporeal life support (ECMO), continuous renal replacement therapy, and the artificial liver. Robert Bartlett and his lifelong accomplishments in the field of extracorporeal membrane oxygenation ASAIO J. . In November 2010, we have placed our 2,000th patient on ECMO. Griffith, MD, from the University of Pittsburgh, visited Dr. Schreiner, MD Flow. ECMO is capable of. ECMO draws blood from the venous system, enriches it with oxygen, removes carbon dioxide (CO 2), and returns the final product again to the venous circulation. Since 1989, 32,385 neonates required ECMO for respiratory. 🎂 Wishing the Father of #ECMO Dr robert bartlett a great birthday today! Liked by Nate Kavars. doi: 10. Dr. Our research determined the limitations and extended the. •. Development of an artificial placenta V: 70h veno-venous extracorporeal life support after ventilatory failure in premature lambs. CA, Robert Bartlett and Alan Gazzaniga utilised partial VA ECMO to support a two-year-old boy with cardiogenic shock following a Mustard procedure for transposition of the great vessels22. More From Forbes. Didactic Synopsis Major Teaching Points. From the Extracorporeal Life Support Laboratory, Department of Surgery, University of Michigan, Ann Arbor, Michigan VA Ann Arbor Healthcare System, Ann Arbor, Michigan. This laboratory is a collaborative program directed by Drs. Bartlett, M. Annual ECMO mortality rates varied widely across ECMO centers: the interquartile range was 18-50% for neonates, 25-66%. Over the last 25 years our laboratory research on extracorporeal gas exchange and perfusion (ECMO) has progressed from oxygenator design, through the physiologic response to ECMO, through the developm. Medical Center Drive, B560 MSRB II, ann rbor, MI. 1 Many will think this is just. Extracorporeal membrane oxygenation (ECMO) was used in the treatment of 100 newborn infants with respiratory failure in three phases: Phase I (50. World's Largest ECMO Patient Registry and Largest Community of ECMO Centers. When the heart/lung machine is used in the operating room in venoarterial mode to provide total support of heart and lung function to facilitate cardiac operations, the. ECMO provides life support but is not a form of treatment. Presented to Extracorporeal Life Support Organization. Join now to see all activity Experience Abiomed 8 years 7 months ECMO Platform Leader. When maximal conventional support fails in rescuing sick neonates, extracorporeal membrane oxygenation (ECMO) will be the option in treating reversible respiratory and cardiac pathologies. Dr. All the gas exchange occurs in the membrane lung, and the arterial oxygenation is the result of mixing the ECMO blood with the native. ECMO was first used successfully in 1971 by a patient with severe lung. •. Extracorporeal membrane oxygenation (ECMO) is currently used to support patients of all ages with acute severe respiratory failure non-responsive to conventional treatments, and although initial use was almost exclusively in neonates, use for this age group is decreasing while use in older children remains stable (300-500 cases annually). In 2019, Esperanza Pineda and her husband, Charles Wolford, met him at a medical conference about the. PMID: 29084039 DOI: 10. In 1989, the Extracorporeal Life Support. •1968:P Drinker & Robert Bartlett: canines on ECMO. 57 They studied lambs between 115 and 120 days gestation, which is the equivalent of a 24-week human. Robert Bartlett). 2015; 61:2–7. Hirschl R. hdb5@cumc. topics of ferments and germs, disease germs, filth dis-eases, antiseptics and disinfectants and their use, quar-antine and vaccination. Portable VV ECMO Dr. Extracorporeal membrane oxygenation (ECMO), synonymous with extracorporeal life support (ECLS), is used as a lifesaving mechanical form of bypassing a patient’s cardiopulmonary system when. Robert Bartlett developed membrane lung 3 day ECMO run for baby to recover completelyRobert Bartlett is known around the world as the Father of ECMO for his pioneering work in developing ECMO. Over the past 40 years, the need for ECMO in neonates has decreased due to advances in critical. The aim of this review is to summarize contemporary data describing the clinical and logistical considerations required to institute a VA-ECMO program with successful clinical outcomes in the context of four key themes that pertain to VA- ECMO programs: the principles of patient selection; basic hemodynamic and technical principles. •. University of Michigan Ann Arbor, Ann Arbor, MI, United States. Robert H. The ECMO program grew swiftly and a dedicated team was organized. As I reread this article today, I am struck by issues of time warp. The rst successful neonatal ECMO was performed by Dr. Bartlett inspired the audience by describing his role in developing an early membrane. While cannulating the femoral artery in VA-ECMO, a distal perfusion catheter needs to be inserted to avoid distal limb ischemia. In polytrauma patients, cardiovascular shock and pulmonary failure are leading death causes. Affiliation 1 1 Division of Pediatric Critical Care. Bartlett continues to direct the ECLS laboratory as it investigates new patient populations and clinical applications. In November 2010, we have placed our 2,000th patient on ECMO. Joe Potkay, Dr. All ECMO patients should be included in a mobilisation protocol unless there are contraindications, which include hypoxia, hemodynamic instability, unstable cardiac rhythm, intracranial pressure monitoring, lose or unstable cannula sites, desaturation episodes with minimal movements, escalation of vasopressors in the last 12 h, and. ASAIO J. In this Q&A, Dr. Dr. P. Ogino,. We describe our experience of 30 consecutive children supported with ECMO and receiving 20 ppm of nitric oxide in the oxygenator of the ECMO circuit. He continued to develop the technology, and the use of ECMO gradually increased from a few cases. Robert Bartlett | Co-founder and ECMO Adviser Robert Bartlett, M. This concept was applied in 1953 by Gibbon who used artificial oxygenation and perfusion support for the first successful open heart operation (). LƯƠNG QUỐC CHÍNH KHOA CẤP CỨU BỆNH VIỆN BẠCH MAI Extra corporeal membrane oxygenation (trao đổi khí qua màng ngoài cơ thể) Kéo dài hỗ trợ hô hấp và tuần. Dr. VV ECMO and ECCO 2R techniques. The use of extracorporeal membrane oxygenation (ECMO) for severe acute respiratory failure (ARF) in adults is growing rapidly given recent advances in technology, although there is controversy regarding the evidence justifying its use (1–9). Objective: To identify factors associated with survival in patients with congenital diaphragmatic hernia (CDH) treated with extracorporeal membrane oxygenation (ECMO). Veno-venous ECMO has gained popularity in the management of respiratory failure as a way to. Hardesty, MD, and Bartley P. § In 1975, Dr. history of ECMO Late 1960s/1970s, what was the mortality of premature infants 1974 - premature labor, OC Medical center meconium aspiration (lowest PO2 12) use of modified CPB circuit in the early 70s for adults with respiratory failure Dr. ELSO was founded in 1989 by Robert H. Since its inception, there have been numerous challenges with extracorporeal circulation, such as coagulation and platelet activation, followed by consumption of coagulation factors and platelets, and biocompatibility of tubing, pump, and. 2013 Jan; 48(1): 145-153. ECMO flow Outlet-Inlet O 2 content (cc/dL) 4 5 6 8 7 Figure 4 The amount of oxygen supplied by a membrane lung is the increase in oxygen content per deciliter of blood times the number of deciliters per minute (the blood flow). . Bartlett and Kristopher B. ดร. Yamaan Saadeh 1. Huxtable and Harry Schippers and. Courtesy of Michigan Medicine. Robert H. 1097/MAT. An RCT in the 1970s had shown ECMO not effective for ARDS in adults In the 1980s, Robert Bartlett used ECMO to treat newborns with PPHN Results were very impressive But, pediatricians were reluctant to adopt ECMO without convincing data from an RCT by Joseph B. Nel 1974, fu condotto uno. Dr. Some have argued that conducting a RCT of ECMO vs. 1097/MAT. Bartlett and Alan B. The article included a photograph of her receiving her diploma from Dr. Discover the history of ECMO and Extracorporeal Life Support, where the first successful cannulation and prolonged extracorporeal circuit use in a patient in an. A Family Guide to Adult ECMO Acknowledgments: Dr. Bartlett, ECLS Laboratory, University of Michigan, B560 MSRB II, 1150 W Medical Center Drive, Ann Arbor, MI 48109, USA. Bartlett placed the infant on ECMO. Introduction. Bartlett's ground-breaking case series from 1977 reporting 28 pediatric and adult patients supported by. Since 1989, 32,385 neonates required ECMO. Robert Bartlett This is a review of the University of Michigan experience with extracorporeal life support (ECLS) also known as extracorporeal membrane oxygenation (ECMO). This use of membrane oxygenators for long-term support of either the lungs or heart or both was largely the result of the work of Robert H. Management of gas exchange using extracorporeal membrane oxygenation (ECMO) in respiratory failure is very different than management when the patient is dependent on mechanical ventilation. Its main purpose was to serve as a long-term “bypass machine” to support the lungs or heart, which was not feasible at that time with conventional bypass machines. Daniel Brodie, in Mechanical Circulatory and Respiratory Support, 2018. the ECMO circuit (whose oxygen content is indicated as C v O 2Ethical dilemmas with the use of ECMO as a bridge to transplantation. Guidance documents addressing additional portions of ECMO care. . 13. The first neonate was saved with extracorporeal membrane oxygenation (ECMO) by Dr. Dr. Dr. Ecmo in Pediatric Respiratory Failure Bartlett, Robert H. Earlier trials with ECMO support demonstrated improved survival in infants with severe,. Evolution of ECMO. In the early 1970s ECMO research began with adults, but quickly turned to newborns with breathing problems. April 2016. Robert H. The healthy survival rate. PDF. Robert H. Robert Bartlett helped save her life as a newborn. Figure 1 illustrates the working principle of v-v ECMO. “The system’s pressure sensor technology ensures continuous monitoring and accurate flow. Robert Bartlett helped pioneer technology that takes over the heart and lung functions of an exhausted patient, allowing them more time to recover. Background: Extracorporeal membrane oxygenation (ECMO) is a specialised life support modality for patients with refractory cardiac or respiratory failure. Wayne State. He developed this technique when he was at the University of California Irvine and spent the majority of his career at University of Michigan in Ann Arbor perfecting its use. 6,20 In V-PA ECMO, there is less mixing of. Recent advances in cannula and pump technology have made ECMO safer and more portable allowing for its deployment in a wider group of patients. Corpus ID: 23018914; Extracorporeal membrane oxygenation (ECMO) cardiopulmonary support in infancy. This article was published in Perfusion. Professor, Obstetrics and Gynecology. Bartlett to the University of Michigan. Bartlett, MD, FACS, received a BA from Albion College, Albion, Michigan, in 1960 and a MD, with honors, from the University of Michigan Medical School in 1963. Jan-Feb 2015;61(1):1. Robert H. Professor, Pediatric Surgery. increases and the number of patients in that arm of the study increases as the study grows. ECMO Fellowship, Robert Bartlett MD Research Lab University of Michigan, Ann Arbor. Bartlett and Conrad 5) SA explained the ratio logically. … See moreDr. Improvements in devices and materials biocompatibility have made ECLS safer and easier in polytrauma. ECMO is similar to the technology used in cardiac bypass surgery. Robert Bartlett, MD is considered the founder of ECMO, and the University of Michigan’s ECMO program is the largest in the country. 66 (8):e113, August 2020. Dynamic search and list-building capabilities. About ELSO The Extracorporeal Life Support. Gray BW, El-Sabbagh A, Zakem SJ, Koch KL, Rojas-Pena A, Owens GE, Bocks ML, Rabah R, Bartlett RH, Mychaliska GB. Sep 15,. Our cost effectiveness and morbidity study in neonates demonstrated that ECMO improved survival while decreasing morbidity and hospital costs. His exceptional vision, creativity, persistence and resilience has saved countless lives and continues to change the way we treat critically ill patients. Robert Bartlett is a Professor Em. Read the latest articles of The Egyptian Journal of Critical Care Medicine at ScienceDirect. We have modified extracorporeal membrane oxygenation (ECMO) systems for a number of clinical. Monitoring of AC therapy under ECMO is recommended and the most common parameter used to assess adequacy of AC therapy in ECMO is activated clotting time (ACT) with a goal range between 180-200. 連勝文的手術是台大整形外科湯月碧教授開的、 世界公認的ECMO之父是心胸外醫師Robert Bartlett、 台灣第一台ECMO是朱樹勳教授放的。 一次性戳破柯文哲的醫療金身謊言。 17 Jul 2023 05:39:49Robert E Cilley; Robert Bartlett; ECMO is capable of safely supporting respiration and circulation in newborns with severe respiratory failure and a moribund clinical presentation. Lorenzo Berra, Warren M. Garg. Bartlett, University of Michigan Medical School, ECMO Lab, B560 MSRB II/1150W. MIT engineer Phillip Drinker feeds a dog that lived for four days on an early prototype of the ECMO machine. Background To summarize the experience of management of persistent pulmonary hypertension of the newborn (PPHN) with extracorporeal membrane oxygenation (ECMO) support. Search grants from Robert Bartlett Search grants. Bartlett, Robert H. 🎂 Wishing the Father of #ECMO Dr robert bartlett a great birthday today!ECMO: The medical innovation you probably never heard of that has saved thousands of babies (and adults). Dr. Robert Bartlett is best known for developing the lifesaving heart-lung technology known as extracorporeal membrane oxygenation (ECMO). Robert Bartlett Venoarterial (VA) extracorporeal membrane oxygenation (ECMO) has been successful in support of neonates with respiratory failure but requires right common carotid artery ligation. Ryan P Barbaro*, Graeme MacLaren*, Philip S Boonstra, Theodore J Iwashyna, Arthur S Slutsky, Eddy Fan, Robert H Bartlett, Joseph E Tonna, Robert Hyslop, Jeffrey J Fanning, Peter T Rycus, Steve J Hyer, Marc M Anders, Cara L Agerstrand, Katarzyna Hryniewicz, Rodrigo Diaz,. In an ovine model of ARDS due to smoke inhalation and burn injury, early institution of ECCO2R in spontaneously breathing animals was effective in removing CO2 and in reducing PaCO2, but it had no effect on reducing the severity of lung injury or mortality. These guidelines describe useful and safe practice, prepared by ELSO and based on extensive experience and are. org Posted Date: 11/01/2022. This guideline aims to provide ECMO centers with a practical reference for providing primary and secondary mobile ECMO services. When maximal conventional support fails in rescuing sick neonates, extracorporeal membrane oxygenation (ECMO) will be the option in treating reversible respiratory and cardiac pathologies. Robert H Bartlett. In addition, Robert Bartlett in an editorial in CCM argued that the difference of the intention to treat vs treatment failure analysis results from 35 patients in the conventional care group who crossed over to the ECMO group as rescue treatment when conventional care was failing. Circulating venous blood outside the body, through an artificial lung (membrane oxygenator), and returning oxygenated blood to the patient is extracorporeal gas exchange. As ECMO use increases, we. The primary outcome was in-hospital death in a time-to-event analysis assessed at 90 days after ECMO initiation. He developed this technique when he was at the University of California Irvine and spent the majority of his career at University of Michigan in Ann Arbor perfecting its use. Robert Bartlett is known around the world as the Father of ECMO for his pioneering work in developing ECMO. Compr Physiol 10 : 2020, 879–891. The primary faculty members supporting the lab are Dr. continued conventional management in critically ill patients would be unethical due to the fact that those randomized to the non-ECMO arm would have higher. The great majority of COVID-19 patients (>90%) requiring EC. Robert H. Robert Bartlett, retired University of Michigan surgeon and pioneer of the extracorporeal membrane oxygenation, or ECMO, machine. Now a retired surgeon, Dr. B. He has contributed the most research regarding ECMO and has built a huge ECMO center, which also runs ELSO and compiles the ELSO Registry. ECMO is one of several terms used for an extracorporeal circuit that directly oxygenates and removes carbon dioxide from the blood ( Figure 1 ). 2 Boston Children's Hospital, Harvard Medical School, Boston, MA 02115, USA. Huxtable and Haiduc Nj and Fong. Dr. Portable VV ECMO Dr. However, it is incomplete. Our ECMO attending physicians are always available to discuss your patients to determine if they are a candidate for our ECMO program and, if needed, recommend additional resources that are. TLDR. Disclaimer: ECMO has, and will certainly continue, to play a role in the management of COVID-19 patients. 1177/0885066616641383 Corpus ID: 23210541; Physiology of Gas Exchange During ECMO for Respiratory Failure @article{Bartlett2017PhysiologyOG, title={Physiology of Gas Exchange During ECMO for Respiratory Failure}, author={Robert H. While reading the Summer 2023 issue of the University of Michigan Medical School alumni magazine, I came across a delightful article on Dr. To the world Dr. Hannah Abraham, die gerade ihren MD- und PhD-Abschluss in Michigan erhalten hatte. Bs. Jeffrey Punch, Dr. History of ECMO. This is a model of two of the critical variables, extracorporeal blood. Bartlett, then working at the University of California at Irvine, reported his first neonatal ECMO survivor. We have used extracorporeal membrane oxygenation (ECMO) for 28 patients (14 children and 14 adults) over a 5-year period. Anderson Harry L. Life-saving ECMO therapy continues to evolve. Rycus and John F. PMID:. Lung function improved in 16 and 13 surivived. The ECLS Lab is a collective of several faculty members. He is often called the “ Father of. A few years later, Robert Bartlett reported the rst infant to bene t from ECMO support. In this Classic Papers feature, we highlight Dr. Alvaro Rojas, Dr. While in the past ECMO was associated with poor outcomes and high complication rates, technical advances coupled with accumulating. " But Bartlett's complaints fell on deaf ears with both Stefansson and the Canadian. D. Today, many infants who would have been on ECMO in 1995 improve with simpler methods. However, using ECMO as “rescue” after other treatments fail results in unnecessary death. Walton Lillehei. Download for offline reading, highlight, bookmark or take notes while you read ECMO:. by Julian Walling. Participants 7345 adults. ECMO Continue maximal I treatment A Recover I Follow-up Protocol Fig 2. An excellent summary of ethical considerations for ECMO interventional trials can be found in a 2016 review by Robert Bartlett, MD . Dr. HomeAbstract. As a result of these studies ECLS (also known as extracorporeal membrane oxygenation, ECMO), has been. A pioneer in the field of neonatal critical care, Dr. Carotid arterial access scares people, but it is safer than femoral arterial cannulation (personal communication with Dr. Ventetuolo,. . 3 days with ECMO. ECMO is used when heart or lung failure is so severe that DO 2:VO 2 is less than 2:1, or when the interventions needed to keep DO 2 twice VO 2 are inherently damaging (high airway pressure, high FiO 2, or vasoactive drugs at high doses). Contact 2? Contact 3? Contact 4? See All Contacts. Wilson, Robert H. Theodor Kolobow. 1). 40 Division of Pulmonary, Allergy, and Critical Care, Columbia University College of Physicians and Surgeons/NewYork-Presbyterian Hospital, 622 W168th St, PH 8E, Room 101, New York, NY, 10032, USA. Gas with a. Epub 2021 Aug 10. Projects Awarded $3. Bartlett successfully treated the first newborn in 1975 in Irvine, California. Explore the tabs below to learn more about Bartlett's expert staff. Dr. Dr. Medical records and patient management notes were retrospectively. Blood is removed from the body of the patient, oxygen is added to the blood, and the blood. Two were in England, namely the University of Leicester and the University of London. Robert Bartlett. Bartlett himself graduated from University of Michigan Medical school in 1963, and was later Professor of Surgery at Michigan. ECMO: Extracorporeal Cardiopulmonary Support in Critical Care, Edición 4 - Ebook written by Gail M. Esperanza: The First Neonatal ECMO Patient ASAIO J. Robert Bartlett: Passato, presente e futuro dell'ECMO. ECMO patients demonstrated significantly reduced platelet aggregation on day 1 compared with healthy controls (all p 0. Her success story was the initiation of ECMO in the neonatal population. Zapol, and Robert H. •. They discuss the evolu…Robert Bartlett Background: The high-quality evidence on managing COVID-19 patients requiring extracorporeal membrane oxygenation (ECMO) support is insufficient. BETA. “It doesn’t treat the patient, but it buys time,” Dr. In 1975, Dr. Mechanical cardiopulmonary support goes by many names. 1016/S0022-5223(19)41180-X Corpus ID: 9696813; Extracorporeal circulation (ECMO) in neonatal respiratory failure. Mechanical cardiopulmonary support goes by many names under the general heading of extracorporeal life support. Improvements in devices and materials biocompatibility have made ECLS safer and easier in polytrauma. Bartlett et al. ECMO technology was developed in the late 1960s by a team led by Robert H. Google Scholar R. Go to citation Crossref Google Scholar. doi: 10. Dr. Jonathan Haft. Request PDF | On Dec 31, 2011, Robert M. Bartlett, MD. Abstract. Robert H. Robert Bartlett, Dr. Tota14 statements achieved consensus; included in four domains discussing patient selection, clinical ECMO management, operational and logistic ECMO management and ethics to guide n. Monitoring of AC therapy under ECMO is recommended and the most common parameter used to assess adequacy of AC therapy in ECMO is activated clotting time (ACT) with a goal range between 180-200. Test to confirm Hemolysis. Management of gas exchange using extracorporeal membrane oxygenation (ECMO) in respiratory failure is very different than management when the patient is dependent on mechanical ventilation. Extracorporeal Membrane Oxygenation for Neibom Respiratory Failze Thomas R. In the fight to save lives against the coronavirus, Michigan doctors are turning to a last-resort machine. Hirschl's phone number, address, insurance information, hospital affiliations and more. In polytrauma patients, cardiovascular shock and pulmonary failure are leading death causes. 1016/S2213-2600(15)00233-7 No. Dr. Its main purpose was to serve as a long-term “bypass machine”. Beaumont Health, Royal Oak, MI. Find Dr. Dr. Robert Bartlett, considerado como el padre de esta terapia, que ha salvado miles de vidas alrededor de todo el mundo, nos cuenta cómo ha sido su experiencia. Bartlett, ECLS Laboratory, University of Michigan, B560 MSRB II, 1150 W Medical Center Drive, Ann Arbor, MI 48109, USA. A pioneer in the field of neonatal critical care, Dr. Eligible patients were aged 18–65 years and had severe (Murray score >3·0 or pH 30 cm. Residency. Subscribe . Five years later the neonatal ECMO project moved with Dr. is Professor Emeritus, in the Section of General Surgery, Division of Acute Care. Abstract and Figures. Johnny Gray posted images on LinkedIn. Disclaimer: ECMO has, and will certainly continue, to play a role in the management of COVID-19 patients. 1 Additionally, guides detailing the requirements for an ECMO program are available in both the medical literature 2 and the ELSO website. This is a BETA experience. We report the experience from 58 United States and 7. 149 rudder court. Bartlett calls himself a retired surgeon and intensivist. Intensive Care Med. edu. ECMO technology was developed in the late 1960s by a team led by Robert H. 7 We report interhospital transport of 5 patients after initiation of venovenous ECMO by our ECMO transport team and subsequent transfer to our hospital for higher level of care with key considerations of PPE use for this transfer and transport-related issues. Extracorporeal support (ECMO) is indicated as severe heart or lung failure with 80% risk of mortality. All of this work helped lead to the extracorporeal membrane oxygenation (ECMO) used today, in which the machine replaces the function of the heart and lung for long periods of time and with less damage than the heart-lung machine. Electronic address: robert. Gazzaniga and Nick J. ECLS Lab. We have over one million books available in our catalogue for you to explore. Bartlett could even imagine a day when a major medical. Robert Bartlett and his lifelong accomplishments in the field of extracorporeal membrane oxygenation ASAIO J . Haiduc}, journal. Odell, R. Design of the prospective controlled randomized study. Three years later, the child was reported to be well, “with no cardiac, neurologic, or renal problems”23. Employing new technology, cardiac surgeon Alan B. Research efforts in our laboratory build upon extracorporeal life support (ECLS) technology, including extracorporeal membrane oxygenation, or ECMO, developed nearly 50 years ago by Professor Emeritus Robert H. University of Minnesota, Minneapolis, MN - Cardiothoracic Surgery. Robert Bartlett in 1975 in which he supported a 1-day-old baby with severe hypoxic respiratory failure secondary to meconium aspiration pneumonitis . Extracorporeal membrane oxygenation (ECMO) is a modified form of cardiopulmonary bypass used to provide adequate tissue oxygen delivery in patients with severe cardiac and/or respiratory failure. Objective: To examine the outcomes of prolonged (≥14 days) extracorporeal membrane oxygenation (P-ECMO) for adult severe respiratory failure and to assess characteristics associated with survival. His career has been in critical care. ECMO in the ICU The SWAC ELSO experience - SWAC ELSO 2016 (SWAC ELSO 2016) Edited by Dr Malaika Mendonca.