Extracorporeal Life Support: Gibbon Fulfilled

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Extracorporeal Life Support: Gibbon Fulfilled Robert H. Bartlett, MD, FACS Journal of the American College of Surgeons Volume 218, Issue 3, Pages 317-327 (March 2014) DOI: 10.1016/j.jamcollsurg.2013.12.002 Copyright © 2014 Terms and Conditions

Figure 1 John Gibbon in 1931, with his laboratory assistant Mary Hopkinton. They married the next year and worked together on extracorporeal circulation for decades. (From the Gibbon archives, Jefferson Medical College, reprinted with permission.) Journal of the American College of Surgeons 2014 218, 317-327DOI: (10.1016/j.jamcollsurg.2013.12.002) Copyright © 2014 Terms and Conditions

Figure 2 John Gibbon, review of surgery, 1970, describing his patient in February 1931. (From the Gibbon archives, Jefferson Medical College, reprinted with permission.) Journal of the American College of Surgeons 2014 218, 317-327DOI: (10.1016/j.jamcollsurg.2013.12.002) Copyright © 2014 Terms and Conditions

Figure 3 Boston Children's Hospital surgery staff in 1965. (From Dr Bartlett, reprinted with permission.) Journal of the American College of Surgeons 2014 218, 317-327DOI: (10.1016/j.jamcollsurg.2013.12.002) Copyright © 2014 Terms and Conditions

Figure 4 Francis Moore in 1966. Chief of Surgery at Peter Bent Brigham Hospital. (From Dr Bartlett, reprinted with permission.) Journal of the American College of Surgeons 2014 218, 317-327DOI: (10.1016/j.jamcollsurg.2013.12.002) Copyright © 2014 Terms and Conditions

Figure 5 Phil Drinker in 1968, demonstrating 4 days of extracorporeal circulation with a membrane oxygenator. (From Dr Bartlett, reprinted with permission.) Journal of the American College of Surgeons 2014 218, 317-327DOI: (10.1016/j.jamcollsurg.2013.12.002) Copyright © 2014 Terms and Conditions

Figure 6 Esperanza, the first neonatal Extracorporeal Life Support Organization patient, at age 21 years (used with permission). (From Dr Bartlett, reprinted with permission.) Journal of the American College of Surgeons 2014 218, 317-327DOI: (10.1016/j.jamcollsurg.2013.12.002) Copyright © 2014 Terms and Conditions

Figure 7 A diagram of venoarterial extracorporeal life support in a neonate. Venous blood is drained from the right atrium to a servo-regulated pump, and pumped through a membrane lung, heat exchanger, and into the aorta. (From Dr Bartlett, reprinted with permission.) Journal of the American College of Surgeons 2014 218, 317-327DOI: (10.1016/j.jamcollsurg.2013.12.002) Copyright © 2014 Terms and Conditions

Figure 8 Cases in the Extracorporeal Life Support Organization Registry, July 2013. (From the Extracorporeal Life Support Organization Registry, reprinted with permission.) Journal of the American College of Surgeons 2014 218, 317-327DOI: (10.1016/j.jamcollsurg.2013.12.002) Copyright © 2014 Terms and Conditions

Figure 9 Adult respiratory cases, Extracorporeal Life Support Organization Registry July 2013. (From the Extracorporeal Life Support Organization Registry, reprinted with permission.) Journal of the American College of Surgeons 2014 218, 317-327DOI: (10.1016/j.jamcollsurg.2013.12.002) Copyright © 2014 Terms and Conditions

Figure 10 (A−D) The clinical course of a 6-year-old child with viral and streptococcal pneumonia. (From Dr Bartlett, reprinted with permission.) Journal of the American College of Surgeons 2014 218, 317-327DOI: (10.1016/j.jamcollsurg.2013.12.002) Copyright © 2014 Terms and Conditions