According to the St. Louis Children's Hospital (the Level I pediatric trauma center and pediatric teaching hospital for the Washington University School of Medicine), which is noted worldwide for its record in pediatric pulmonary transplantation, a type of artificial lung device, the Quadrox, was used after ECMO as a bridge to a dual lung transplant in ten-month-old Eleni Scott of the St. Louis suburb of Florissant, Missouri, who after transplantation returned to her home.
Guidelines that describe the indications and practice of ECMO are published by the Extracorporeal Life Support Organization (ELSO).
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Initial cannulation of a patient receiving ECMO is performed by a surgeon or anaesthetist and maintenance of the patient is the responsibility of the Perfusionist or ECMO Specialist who gives 24/7 monitoring care for the duration of the ECMO treatment.