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Letters to the editor
Absence of written guidelines in neonatal units for ECMO referral may delay referral
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Editor—Extracorporeal membrane oxygenation (ECMO) is a complex technique for providing life support in respiratory failure. ECMO support has been shown to be both clinically1 and economically2 justifiable for mature newborn infants with severe respiratory failure. As a result of the UK trial, the Department of Health (England and Wales) has decided to fund centrally three centres to provide an ECMO service for these children. Prompt and appropriate referral …