Miniaturization: The clue to clinical application of the artificial placenta

Mark Schoberer*, Jutta Arens, Aileen Erben, Daan Ophelders, Reint K. Jellema, Boris W. Kramer, Jan L. Bruse, Petra Brouwer, Thomas Schmitz-Rode, Ulrich Steinseifer, Thorsten Orlikowsky

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

12 Citations (Scopus)

Abstract

The artificial placenta as a fascinating treatment alternative for neonatal lung failure has been the subject of clinical research for over 50 years. Pumpless systems have been in use since 1986. However, inappropriate dimensioning of commercially available oxygenators has wasted some of the theoretical advantages of this concept. Disproportional shunt fractions can cause congestive heart failure. Blood priming of large oxygenators and circuits dilutes fetal hemoglobin (as the superior oxygen carrier), is potentially infectious, and causes inflammatory reactions. Flow demands of large extracorporeal circuits require cannula sizes that are not appropriate for use in preterm infants. NeonatOx, a tailored low-volume oxygenator for this purpose, has proven the feasibility of this principle before. We now report the advances in biological performance of a refined version of this specialized oxygenator.

Original languageEnglish
Pages (from-to)208-214
Number of pages7
JournalArtificial organs
Volume38
Issue number3
DOIs
Publication statusPublished - 1 Mar 2014
Externally publishedYes

Keywords

  • Artificial placenta
  • Extracorporeal life support
  • Interventional lung assist
  • Neonatal respiratory failure

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    Schoberer, M., Arens, J., Erben, A., Ophelders, D., Jellema, R. K., Kramer, B. W., ... Orlikowsky, T. (2014). Miniaturization: The clue to clinical application of the artificial placenta. Artificial organs, 38(3), 208-214. https://doi.org/10.1111/aor.12146