Ok. I have a question.
We have avoided ECMO sometimes in neonates by using Hi-frequency oscillation; we also have experimentally used surfactant on these usually term kids. There was even one child they did a "washout" w/ surfactant--it worked on that one, but I've never seen them do it again.
Now the REASON they do ECMO in babies usually is meconium-aspiration (adults hardly EVER get that, I hope
) and persistant fetal circulation (more blood going to the body w/o a pick-up in the lungs, ductus and foramen remain open, shunts blood L to R).
Does that jive w/why they'd need to do ECMO in an adult? If not, can you expain it to me? Inquiring minds want to know!!