The Catalyst Issue 13 | Winter/Spring 2012 | Page 21

hospital with Scott & White Healthcare. After undergoing cardiopulmonary resuscitation (CPR) and an emergency cesarean section, which their daughter, Lila, did not survive, Mrs. Gilmer was flown via helicopter to Scott & White’s hospital in Temple, Texas. Mr. Gilmer was left to mourn the loss of his beautiful daughter and pray desperately for the life of his wife, his best friend since childhood and mother of his four young children who were at home, unaware of what was happening. “When she arrived at the hospital, her blood pressure was dangerously low and she was requiring massive doses of adrenaline to help her heart continue to pump,” says Kenton J. Zehr, MD, director of the Division of Cardiothoracic Surgery, and professor of surgery at the Texas A&M Health Science Center College of Medicine. “She required intermittent external chest compressions to support her circulation. Her aortic valve needed to be replaced.” After the successful valve replacement surgery, Mrs. Gilmer’s heart function was so poor she had no chance of separation from the heart-lung machine. She was placed on ECMO, or extracorporeal membrane oxygenation, an advanced mechanical pump system that allows patients’ hearts to rest so they can eventually function again on their own. She was moved to the Cardiac Intensive Care Unit, where she remained under the care of Dr. Zehr, his colleague cardiothoracic surgeon Enrique Gongora, MD, and an entire team of specialists. Scott & White Healthcare is the only Texas hospital system outside Houston that offers ECLS, or extracorporeal life support. It is lifesaving equipment for patients with acute heart or lung failure, accident victims, and even those who become dangerously ill due to illnesses like the H1N1 flu virus. ECLS includes ECMO and VADs, ventricular assist devices. Whether they’re used separately or in tandem, VADs and ECMO are making a huge difference for many patients. “The ECLS equipment is a pump system that basically does the work of the heart and the lungs and allows them to recover,” says Dr. Zehr. “We’re not only giving cardiac and pulmonary patients a second chance to live, but successfully expanding the technology’s use to other kinds of patients who just two years ago would have died.” ECMO temporarily relieves the workload of the