Too Big to Fit, Just Right to Save: Adult ECMO Circuit in Pediatric ECPR

Indian Journal of ECMO 2026 Open access

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Authors: Uppaluri Naga Pradeep Babu, Karthi Nallasamy, Rupesh Kumar, Harkant Singh, Banashree Mandal, Bhupesh Kumar, Naveen Saini, Jayashree Muralidharan, Aakash Chandran Chidambaram
DOI: 10.5005/jaypee-journals-11011-0086.35
Cited by: 0

Abstract

closure, VA-ECMO was transitioned to VV-ECMO for four days, followed by successful decannulation, tracheostomy weaning, and discharge on BiPAP. DiscussionThis case demonstrates that adult ECMO circuits can be safely adapted for pediatric ECPR when pediatric hardware is unavailable.Circuit-related challenges, including hemodilution, coagulopathy, drug sequestration, and cyanide toxicity, highlight the need for vigilant monitoring, CRRT integration, and multidisciplinary management to optimize outcomes in pediatric ECMO.

Fields of Study & Subjects

Mechanical Circulatory Support Devices Respiratory Support and Mechanisms Congenital Heart Disease Studies

Publication details

Journal / source
Indian Journal of ECMO
Volume
4
Issue
S1
Pages
S74–S75
Publication date
4 February 2026
Language
EN