World Shared Practice Forum - 'Pediatric ECMO: State of the Art in 2014' with Dr. Heidi Dalton

Dr. Dalton has been the Chief of Critical Care Medicine at Phoenix Children’s Hospital since 2009. Her research has been focused on the use of extracorporeal life support in infants and children suffering from respiratory disease, cardiac failure or cardiac arrest, as well as on improving outcomes from respiratory failure and sepsis with less invasive techniques. Dr. Dalton recently authored a review of ECMO titled, “How Low Can We Go? The Changing Landscape of Extracorporeal Support in Infants” that was published in the January issue of Pediatric Critical Care Medicine.


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Welcome to World Shared Practices Forum. I'm Jeff Burns, Chief of Critical Care at Boston Children's Hospital and Harvard Medical School. We are very fortunate to have with us today Dr. Heidi Dalton, who is the Chief of Pediatric Critical Care at the Phoenix Children's Hospital and Professor of Child Health at the University of Arizona. Dr. Dalton is an expert in ECMO. She is a member of the Steering Committee of the Extracorporeal Life Support Organization and on that Steering Committee, she's actually the conference organizer and planner. And, with that experience, she's travelled around the world advising on ECMO programs; and today, we want to tap that experience and ask Dr. Dalton about the state of ECMO as it exists in the world today in pediatrics. But before we begin, I wonder if I could ask our colleagues around the world, if you could first stop and tell us: do you have an ECMO program and, if so, could you tell us what city and country you're located in; and if you have an ECMO program, is it a neonatal program only or is it a neonatal and pediatric program; and finally, if you have an ECMO program, approximately how many patients per year do you cannulate for ECMO support?