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1.
Science ; 356(6345): 1393-1395, 2017 06 30.
Artigo em Inglês | MEDLINE | ID: mdl-28663502

RESUMO

Neonicotinoid seed dressings have caused concern world-wide. We use large field experiments to assess the effects of neonicotinoid-treated crops on three bee species across three countries (Hungary, Germany, and the United Kingdom). Winter-sown oilseed rape was grown commercially with either seed coatings containing neonicotinoids (clothianidin or thiamethoxam) or no seed treatment (control). For honey bees, we found both negative (Hungary and United Kingdom) and positive (Germany) effects during crop flowering. In Hungary, negative effects on honey bees (associated with clothianidin) persisted over winter and resulted in smaller colonies in the following spring (24% declines). In wild bees (Bombus terrestris and Osmia bicornis), reproduction was negatively correlated with neonicotinoid residues. These findings point to neonicotinoids causing a reduced capacity of bee species to establish new populations in the year following exposure.


Assuntos
Abelhas/efeitos dos fármacos , Colapso da Colônia , Neonicotinoides/toxicidade , Praguicidas/toxicidade , Agricultura , Animais , Abelhas/classificação , Alemanha , Hungria , Reino Unido
2.
Sci Rep ; 6: 37655, 2016 12 20.
Artigo em Inglês | MEDLINE | ID: mdl-27995934

RESUMO

Concern over reported honeybee (Apis mellifera spp.) losses has highlighted chemical exposure as a risk. Current laboratory oral toxicity tests in A. mellifera spp. use short-term, maximum 96 hour, exposures which may not necessarily account for chronic and cumulative toxicity. Here, we use extended 240 hour (10 day) exposures to examine seven agrochemicals and trace environmental pollutant toxicities for adult honeybees. Data were used to parameterise a dynamic energy budget model (DEBtox) to further examine potential survival effects up to 30 day and 90 day summer and winter worker lifespans. Honeybees were most sensitive to insecticides (clothianidin > dimethoate ≫ tau-fluvalinate), then trace metals/metalloids (cadmium, arsenic), followed by the fungicide propiconazole and herbicide 2,4-dichlorophenoxyacetic acid (2,4-D). LC50s calculated from DEBtox parameters indicated a 27 fold change comparing exposure from 48 to 720 hours (summer worker lifespan) for cadmium, as the most time-dependent chemical as driven by slow toxicokinetics. Clothianidin and dimethoate exhibited more rapid toxicokinetics with 48 to 720 hour LC50s changes of <4 fold. As effects from long-term exposure may exceed those measured in short-term tests, future regulatory tests should extend to 96 hours as standard, with extension to 240 hour exposures further improving realism.

3.
Ecol Appl ; 21(5): 1760-71, 2011 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-21830716

RESUMO

The global decline of insect pollinators, especially bees, is cause for concern, and there is an urgent need for cost-effective conservation measures in agricultural landscapes. While landscape context and habitat quality are known to influence species richness and abundance of bees, there is a lack of evidence from manipulative field experiments on bees' responses to adaptive management across differently structured landscapes. We present the results of a large-scale study that investigated the effects of a targeted agri-environment scheme (AES) on bumble bees (Bombus spp.) over three years in the United Kingdom. Forage patches of different sizes were sown with a conservation flower mixture across eight sites covering a broad range of agricultural land use types. Species richness and worker densities (especially of the longer-tongued Bombus species for which the mixture was targeted) were significantly higher on sown forage patches than on existing non-crop control habitats throughout the three-year study, but the strength of this response depended on both the proportions of arable land and abundance of herbaceous forb species in the surrounding landscape. The size of sown patches also affected worker density, with smaller patches (0.25 ha) attracting higher densities of some species than larger patches (1.0 ha). Our models show that a targeted AES can deliver greater net benefits in more intensively farmed areas, in terms of the number and species richness of bumble bees supported, than in heterogeneous landscapes where other foraging habitats exist. These findings serve to strengthen the evidence base for extending agri-environment schemes to boost declining pollinator populations to a larger number of agricultural landscapes across the globe.


Assuntos
Agricultura , Abelhas/classificação , Abelhas/fisiologia , Comportamento Animal/fisiologia , Conservação dos Recursos Naturais/métodos , Ecossistema , Animais , Inglaterra , Flores
4.
Biol Lett ; 3(6): 638-41, 2007 Dec 22.
Artigo em Inglês | MEDLINE | ID: mdl-17925271

RESUMO

Bumble-bee declines across Europe have been linked to loss of habitat and forage availability due to agricultural intensification. These declines may have severe ecological and commercial consequences since bumble-bees pollinate a range of wildflowers and crops. In England, attempts are being made to reintroduce forage resources through agri-environment schemes, yet there are few data on how the area of forage, or the landscape context in which it is provided, affects their success. We investigated the effects of sown forage patches on bumble-bees across sites varying in landscape characteristics. Bumble-bee densities were higher on sown patches compared with control habitats but did not vary with patch size, i.e. total forager numbers were proportional to patch area. Importantly, the relative response to sown forage patches varied widely across a landscape gradient such that their impact in terms of attracting foraging bumble-bees was greatest where the proportion of arable land was highest.


Assuntos
Abelhas/fisiologia , Comportamento Animal , Meio Ambiente , Animais , Conservação dos Recursos Naturais , Flores/fisiologia , Polinização , Densidade Demográfica
5.
Biol Lett ; 2(1): 140-3, 2006 Mar 22.
Artigo em Inglês | MEDLINE | ID: mdl-17148348

RESUMO

The Farm Scale Evaluations (FSEs) showed that genetically modified herbicide-tolerant (GMHT) cropping systems could influence farmland biodiversity because of their effects on weed biomass and seed production. Recently published results for winter oilseed rape showed that a switch to GMHT crops significantly affected weed seedbanks for at least 2 years after the crops were sown, potentially causing longer-term effects on other taxa. Here, we seek evidence for similar medium-term effects on weed seedbanks following spring-sown GMHT crops, using newly available data from the FSEs. Weed seedbanks following GMHT maize were significantly higher than following conventional varieties for both the first and second years, while by contrast, seedbanks following GMHT spring oilseed rape were significantly lower over this period. Seedbanks following GMHT beet were smaller than following conventional crops in the first year after the crops had been sown, but this difference was much reduced by the second year for reasons that are not clear. These new data provide important empirical evidence for longer-term effects of GMHT cropping on farmland biodiversity.


Assuntos
Produtos Agrícolas/fisiologia , Resistência a Herbicidas/genética , Plantas Geneticamente Modificadas/fisiologia , Poaceae/crescimento & desenvolvimento , Agricultura , Beta vulgaris/genética , Beta vulgaris/fisiologia , Biodiversidade , Brassica rapa/genética , Brassica rapa/fisiologia , Produtos Agrícolas/genética , Plantas Geneticamente Modificadas/genética , Sementes/crescimento & desenvolvimento , Zea mays/genética , Zea mays/fisiologia
6.
Am Nat ; 165(2): 179-92, 2005 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-15729649

RESUMO

The Park Grass Experiment at Rothamsted in southeast England was started in 1856, making it the longest-running experiment in plant ecology anywhere in the world. Experimental inputs include a range of fertilizers (nitrogen, phosphorus, potassium, and organic manures) applied annually, with lime applied occasionally, and these have led to an increase in biomass and, where nitrogen was applied in the form of ammonium sulfate, to substantial decreases in soil pH. The number of species per plot varies from three to 44 per 200 m(2), affording a unique opportunity to study the determinants of plant species richness and to estimate the effect sizes attributable to different factors. The response of species richness to biomass depends on the amount and type of nitrogen applied; richness declined monotonically with increasing biomass on plots receiving no nitrogen or receiving nitrogen in the form of sodium nitrate, but there was no relationship between species richness and biomass on plots acidified by ammonium sulfate application. The response to lime also depended on the type of nitrogen applied; there was no relationship between lime treatment and species richness, except in plots receiving nitrogen in the form of ammonium sulfate, where species richness increased sharply with increasing soil pH. The addition of phosphorus reduced species richness, and application of potassium along with phosphorus reduced species richness further, but the biggest negative effects were when nitrogen and phosphorus were applied together. The analysis demonstrates how multiple factors contribute to the observed diversity patterns and how environmental regulation of species pools can operate at the same spatial and temporal scale as biomass effects.


Assuntos
Biodiversidade , Poaceae/classificação , Biomassa , Inglaterra , Meio Ambiente , Fertilizantes , Concentração de Íons de Hidrogênio , Modelos Biológicos , Poaceae/crescimento & desenvolvimento , Dinâmica Populacional
7.
Nature ; 428(6980): 313-6, 2004 Mar 18.
Artigo em Inglês | MEDLINE | ID: mdl-15001990

RESUMO

The UK Farm-Scale Evaluations (FSE) compared the effects on biodiversity of management of genetically modified herbicide-tolerant (GMHT) spring-sown crops with conventional crop management. The FSE reported larger weed abundance under GMHT management for fodder maize, one of three crops studied. Increased seed production may be important for the long-term persistence of these arable weeds and may benefit invertebrates, small mammals and seed-eating birds. In three-quarters of FSE maize fields, growers used atrazine on the conventionally managed half, reflecting contemporary commercial practice. Withdrawal of the triazine herbicides atrazine, simazine and cyanazine from approved lists of EU chemicals could therefore reduce or even reverse the reported benefits of GMHT maize. Here we analyse effects of applications of triazine herbicides in conventional maize regimes on key indicators, using FSE data. Weed abundances were decreased greatly relative to all other regimes whenever atrazine was applied before weeds emerged. Here, we forecast weed abundances in post-triazine herbicide regimes. We predict weed abundances under future conventional herbicide management to be considerably larger than that for atrazine used before weeds emerged, but still smaller than for the four FSE sites analysed that used only non-triazine herbicides. Our overall conclusion is that the comparative benefits for arable biodiversity of GMHT maize cropping would be reduced, but not eliminated, by the withdrawal of triazines from conventional maize cropping.


Assuntos
Herbicidas/farmacologia , Plantas/efeitos dos fármacos , Zea mays/fisiologia , Atrazina/farmacologia , Biodiversidade , Biomassa , Produtos Agrícolas/efeitos dos fármacos , Produtos Agrícolas/genética , Produtos Agrícolas/fisiologia , Desenvolvimento Vegetal , Plantas Geneticamente Modificadas , Reino Unido , Zea mays/efeitos dos fármacos , Zea mays/genética
8.
Philos Trans R Soc Lond B Biol Sci ; 358(1439): 1779-99, 2003 Nov 29.
Artigo em Inglês | MEDLINE | ID: mdl-14561314

RESUMO

Farmland biodiversity and food webs were compared in conventional and genetically modified herbicide-tolerant (GMHT) crops of beet (Beta vulgaris L.), maize (Zea mays L.) and both spring and winter oilseed rape (Brassica napus L.). GMHT and conventional varieties were sown in a split-field experimental design, at 60-70 sites for each crop, spread over three starting years beginning in 2000. This paper provides a background to the study and the rationale for its design and interpretation. It shows how data on environment, field management and the biota are used to assess the current state of the ecosystem, to define the typical arable field and to devise criteria for selecting, sampling and auditing experimental sites in the Farm Scale Evaluations. The main functional and taxonomic groups in the habitat are ranked according to their likely sensitivity to GMHT cropping, and the most responsive target organisms are defined. The value of the seedbank as a baseline and as an indicator of historical trends is proposed. Evidence from experiments during the twentieth century is analysed to show that large changes in field management have affected sensitive groups in the biota by ca. 50% during a year or short run of years--a figure against which to assess any positive or negative effects of GMHT cropping. The analysis leads to a summary of factors that were, and were not, examined in the first 3 years of the study and points to where modelling can be used to extrapolate the effects to the landscape and the agricultural region.


Assuntos
Agricultura/métodos , Biodiversidade , Cadeia Alimentar , Herbicidas/metabolismo , Modelos Biológicos , Plantas Geneticamente Modificadas/fisiologia , Beta vulgaris/fisiologia , Brassica napus/fisiologia , Plantas Geneticamente Modificadas/metabolismo , Sementes/fisiologia , Reino Unido , Zea mays/fisiologia
9.
Philos Trans R Soc Lond B Biol Sci ; 358(1439): 1801-18, 2003 Nov 29.
Artigo em Inglês | MEDLINE | ID: mdl-14561315

RESUMO

The Farm Scale Evaluations of genetically modified herbicide-tolerant crops (GMHT) were conducted in the UK from 2000 to 2002 on beet (sugar and fodder), spring oilseed rape and forage maize. The management of the crops studied is described and compared with current conventional commercial practice. The distribution of field sites adequately represented the areas currently growing these crops, and the sample contained sites operated at a range of management intensities, including low intensity. Herbicide inputs were audited, and the active ingredients used and the rates and the timings of applications compared well with current practice for both GMHT and conventional crops. Inputs on sugar beet were lower than, and inputs on spring oilseed rape and forage maize were consistent with, national averages. Regression analysis of herbicide-application strategies and weed emergence showed that inputs applied by farmers increased with weed densities in beet and forage maize. GMHT crops generally received only one herbicide active ingredient per crop, later and fewer herbicide sprays and less active ingredient (for beet and maize) than the conventional treatments. The audit of inputs found no evidence of bias.


Assuntos
Agricultura/métodos , Produtos Agrícolas/metabolismo , Ecossistema , Herbicidas/metabolismo , Plantas Geneticamente Modificadas/fisiologia , Beta vulgaris/fisiologia , Brassica napus/fisiologia , Geografia , Plantas Geneticamente Modificadas/metabolismo , Sementes/fisiologia , Reino Unido , Zea mays/fisiologia
10.
Philos Trans R Soc Lond B Biol Sci ; 358(1439): 1819-32, 2003 Nov 29.
Artigo em Inglês | MEDLINE | ID: mdl-14561316

RESUMO

We compared the seedbanks, seed rains, plant densities and biomasses of weeds under two contrasting systems of management in beet, maize and spring oilseed rape. Weed seedbank and plant density were measured at the same locations in two subsequent seasons. About 60 fields were sown with each crop. Each field was split, one half being sown with a conventional variety managed according to the farmer's normal practice, the other half being sown with a genetically modified herbicide-tolerant (GMHT) variety, with weeds controlled by a broad-spectrum herbicide. In beet and rape, plant densities shortly after sowing were higher in the GMHT treatment. Following weed control in conventional beet, plant densities were approximately one-fifth of those in GMHT beet. In both beet and rape, this effect was reversed after the first application of broad-spectrum herbicide, so that late-season plant densities were lower in the GMHT treatments. Biomass and seed rain in GMHT crops were between one-third and one-sixth of those in conventional treatments. The effects of differing weed-seed returns in these two crops persisted in the seedbank: densities following the GMHT treatment were about 20% lower than those following the conventional treatment. The effect of growing maize was quite different. Weed density was higher throughout the season in the GMHT treatment. Late-season biomass was 82% higher and seed rain was 87% higher than in the conventional treatment. The difference was not subsequently detectable in the seedbank because the total seed return was low after both treatments. In all three crops, weed diversity was little affected by the treatment, except for transient effects immediately following herbicide application.


Assuntos
Agricultura/métodos , Biodiversidade , Biomassa , Herbicidas/metabolismo , Plantas Geneticamente Modificadas/fisiologia , Sementes/fisiologia , Beta vulgaris/fisiologia , Brassica napus/fisiologia , Plantas Geneticamente Modificadas/metabolismo , Reino Unido , Zea mays/fisiologia
11.
Philos Trans R Soc Lond B Biol Sci ; 358(1439): 1833-46, 2003 Nov 29.
Artigo em Inglês | MEDLINE | ID: mdl-14561317

RESUMO

We compared the effects of the management of genetically modified herbicide-tolerant (GMHT) and conventional beet, maize and spring oilseed rape on 12 weed species. We sampled the seedbank before and after cropping. During the season we counted plants and measured seed rain and biomass. Ratios of densities were used to calculate emergence, survival, reproduction and seedbank change. Treatments significantly affected the biomass of six species in beet, eight in maize and five in spring oilseed rape. The effects were generally consistent, with biomass lower in GMHT beet and spring oilseed rape and higher in GMHT maize. With few exceptions, emergence was higher in GMHT crops. Subsequent survival was significantly lowered for eight species in beet and six in spring oilseed rape in the GMHT treatments. It was increased for five species in maize and one in spring oilseed rape. Significant effects on seedbank change were found for four species. However, for many species in beet and spring oilseed rape (19 out of 24 cases), seed densities were lower in the seedbank after GMHT cropping. These differences compounded over time would result in large decreases in population densities of arable weeds. In maize, populations may increase.


Assuntos
Agricultura/métodos , Biomassa , Herbicidas/metabolismo , Plantas Geneticamente Modificadas/fisiologia , Sementes/fisiologia , Beta vulgaris/fisiologia , Brassica napus/fisiologia , Plantas Geneticamente Modificadas/metabolismo , Reino Unido , Zea mays/fisiologia
12.
Philos Trans R Soc Lond B Biol Sci ; 358(1439): 1847-62, 2003 Nov 29.
Artigo em Inglês | MEDLINE | ID: mdl-14561318

RESUMO

The effects of herbicide management of genetically modified herbicide-tolerant (GMHT) beet, maize and spring oilseed rape on the abundance and diversity of soil-surface-active invertebrates were assessed. Most effects did not differ between years, environmental zones or initial seedbanks or between sugar and fodder beet. This suggests that the results may be treated as generally applicable to agricultural situations throughout the UK for these crops. The direction of the effects was evenly balanced between increases and decreases in counts in the GMHT compared with the conventional treatment. Most effects involving a greater capture in the GMHT treatments occurred in maize, whereas most effects involving a smaller capture were in beet and spring oilseed rape. Differences between GMHT and conventional crop herbicide management had a significant effect on the capture of most surface-active invertebrate species and higher taxa tested in at least one crop, and these differences reflected the phenology and ecology of the invertebrates. Counts of carabids that feed on weed seeds were smaller in GMHT beet and spring oilseed rape but larger in GMHT maize. In contrast, collembolan detritivore counts were significantly larger under GMHT crop management.


Assuntos
Agricultura/métodos , Biodiversidade , Herbicidas/metabolismo , Invertebrados/fisiologia , Plantas Geneticamente Modificadas/fisiologia , Animais , Beta vulgaris/fisiologia , Brassica napus/fisiologia , Plantas Geneticamente Modificadas/metabolismo , Reino Unido , Zea mays/fisiologia
13.
Philos Trans R Soc Lond B Biol Sci ; 358(1439): 1879-98, 2003 Nov 29.
Artigo em Inglês | MEDLINE | ID: mdl-14561320

RESUMO

The effects of management of genetically modified herbicide-tolerant (GMHT) crops on adjacent field margins were assessed for 59 maize, 66 beet and 67 spring oilseed rape sites. Fields were split into halves, one being sown with a GMHT crop and the other with the equivalent conventional non-GMHT crop. Margin vegetation was recorded in three components of the field margins. Most differences were in the tilled area, with fewer smaller effects mirroring them in the verge and boundary. In spring oilseed rape fields, the cover, flowering and seeding of plants were 25%, 44% and 39% lower, respectively, in the GMHT uncropped tilled margins. Similarly, for beet, flowering and seeding were 34% and 39% lower, respectively, in the GMHT margins. For maize, the effect was reversed, with plant cover and flowering 28% and 67% greater, respectively, in the GMHT half. Effects on butterflies mirrored these vegetation effects, with 24% fewer butterflies in margins of GMHT spring oilseed rape. The likely cause is the lower nectar supply in GMHT tilled margins and crop edges. Few large treatment differences were found for bees, gastropods or other invertebrates. Scorching of vegetation by herbicide-spray drift was on average 1.6% on verges beside conventional crops and 3.7% beside GMHT crops, the difference being significant for all three crops.


Assuntos
Agricultura/métodos , Biodiversidade , Meio Ambiente , Herbicidas/metabolismo , Invertebrados/fisiologia , Plantas Geneticamente Modificadas/fisiologia , Animais , Beta vulgaris/fisiologia , Brassica napus/fisiologia , Plantas Geneticamente Modificadas/metabolismo , Reino Unido , Zea mays/fisiologia
14.
Philos Trans R Soc Lond B Biol Sci ; 358(1439): 1863-77, 2003 Nov 29.
Artigo em Inglês | MEDLINE | ID: mdl-14561319

RESUMO

The effects of the management of genetically modified herbicide-tolerant (GMHT) crops on the abundances of aerial and epigeal arthropods were assessed in 66 beet, 68 maize and 67 spring oilseed rape sites as part of the Farm Scale Evaluations of GMHT crops. Most higher taxa were insensitive to differences between GMHT and conventional weed management, but significant effects were found on the abundance of at least one group within each taxon studied. Numbers of butterflies in beet and spring oilseed rape and of Heteroptera and bees in beet were smaller under the relevant GMHT crop management, whereas the abundance of Collembola was consistently greater in all GMHT crops. Generally, these effects were specific to each crop type, reflected the phenology and ecology of the arthropod taxa, were indirect and related to herbicide management. These results apply generally to agriculture across Britain, and could be used in mathematical models to predict the possible long-term effects of the widespread adoption of GMHT technology. The results for bees and butterflies relate to foraging preferences and might or might not translate into effects on population densities, depending on whether adoption leads to forage reductions over large areas. These species, and the detritivore Collembola, may be useful indicator species for future studies of GMHT management.


Assuntos
Agricultura/métodos , Artrópodes/fisiologia , Biodiversidade , Herbicidas/metabolismo , Plantas Geneticamente Modificadas/fisiologia , Análise de Variância , Animais , Beta vulgaris/fisiologia , Brassica napus/fisiologia , Plantas Geneticamente Modificadas/metabolismo , Reino Unido , Zea mays/fisiologia
15.
Philos Trans R Soc Lond B Biol Sci ; 358(1439): 1899-913, 2003 Nov 29.
Artigo em Inglês | MEDLINE | ID: mdl-14561321

RESUMO

Effects of genetically modified herbicide-tolerant (GMHT) and conventional crop management on invertebrate trophic groups (herbivores, detritivores, pollinators, predators and parasitoids) were compared in beet, maize and spring oilseed rape sites throughout the UK. These trophic groups were influenced by season, crop species and GMHT management. Many groups increased twofold to fivefold in abundance between early and late summer, and differed up to 10-fold between crop species. GMHT management superimposed relatively small (less than twofold), but consistent, shifts in plant and insect abundance, the extent and direction of these effects being dependent on the relative efficacies of comparable conventional herbicide regimes. In general, the biomass of weeds was reduced under GMHT management in beet and spring oilseed rape and increased in maize compared with conventional treatments. This change in resource availability had knock-on effects on higher trophic levels except in spring oilseed rape where herbivore resource was greatest. Herbivores, pollinators and natural enemies changed in abundance in the same directions as their resources, and detritivores increased in abundance under GMHT management across all crops. The result of the later herbicide application in GMHT treatments was a shift in resource from the herbivore food web to the detritivore food web. The Farm Scale Evaluations have demonstrated over 3 years and throughout the UK that herbivores, detritivores and many of their predators and parasitoids in arable systems are sensitive to the changes in weed communities that result from the introduction of new herbicide regimes.


Assuntos
Agricultura/métodos , Cadeia Alimentar , Herbicidas/metabolismo , Invertebrados/fisiologia , Plantas Geneticamente Modificadas/fisiologia , Animais , Beta vulgaris/fisiologia , Brassica napus/fisiologia , Plantas Geneticamente Modificadas/metabolismo , Dinâmica Populacional , Reino Unido , Zea mays/fisiologia
16.
J Med Assoc Ga ; 82(9): 471-6, 1993 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-8228674

RESUMO

Extracorporeal membrane oxygenation (ECMO) is a perfusion support procedure that has been used to treat more than 7,000 patients with life threatening cardiac and/or respiratory failure. After 6 months of training and preparation, an ECMO service was opened on January 2, 1991, in Egleston Children's Hospital at Emory University. During the first 2 years, 96 neonatal, 31 pediatric, and 8 cardiac patients have been referred for possible ECMO. Of these 135 patients, 21 had disqualifying conditions. Sixty-four were considered candidates for ECMO but were able to be supported using less invasive therapies; only one of these died. Fifty patients were treated with ECMO of whom 39 survived (78%). Survival rates for neonatal, pediatric, and cardiac cases as separate groups as well as for each diagnostic category within these groups compare favorably with those reported by the international ELSO Registry. Notable in this series is the fact that 26/35 neonatal patients and 7/10 pediatric patients were successfully supported using venovenous (VV) rather than venoarterial (VA) perfusion, with the major indication for venoarterial ECMO being inability to introduce the 14F venovenous catheter into the patient's internal jugular vein. No patient initially managed with VV ECMO required conversion to VA. It is anticipated that avoidance of carotid ligation along with other innovations, such as the impending commercial availability of heparin-coated ECMO circuits, will make ECMO a highly attractive and appropriate therapy for an increasing number of high risk neonatal and pediatric patients in our state and region.


Assuntos
Oxigenação por Membrana Extracorpórea , Cardiopatias Congênitas/terapia , Garantia da Qualidade dos Cuidados de Saúde , Síndrome do Desconforto Respiratório do Recém-Nascido/terapia , Insuficiência Respiratória/terapia , Adolescente , Criança , Pré-Escolar , Feminino , Seguimentos , Georgia , Cardiopatias Congênitas/mortalidade , Humanos , Lactente , Recém-Nascido , Masculino , Síndrome do Desconforto Respiratório do Recém-Nascido/mortalidade , Insuficiência Respiratória/mortalidade , Taxa de Sobrevida
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