About Extracorporeal Membranous Oxygenation (ECMO)

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The Hanuola Center has been established by the ECMO Program of Hawai‘i to serve as an advanced pediatric critical care center with extracorporeal life support services for Hawai‘i and the Pacific Rim region. This initiative is a collaborative effort with Tripler Army Medical Center (TAMC), Kapi'olani Medical Center for Women and Children (KMCWC), Kaiser Permanente Hawai‘i, University of Hawai‘i (UH) and the University of Pittsburgh Medical Center (UPMC).

The Hanuola Center’s mission is to enhance the science of pediatric advanced critical care, while providing advanced care to patients. The Center’s research and training focus will include:


  • Basic science ECMO research using established septic shock animal models.
  • Development and evaluation of manikin based simulation technologies for application to neonatal and pediatric critical care and ECMO curricula.
  • Improvement of the education and training of Department of Defense (DOD) health care providers.
  • Quality assessment and improvement of our clinical ECMO program through the use of the ELSO registry data as a comparative benchmark.

The establishment of the Center will improve the level of care provided to DOD dependents in the Pacific region and to all children in the State of Hawai‘i , by providing state-of-the-art critical care support for patients and state-of-the-art educational opportunities to Pediatric providers. The Center is being established and evaluated through existing guidelines for clinical care and education and training.

The Hanuola ECMO program based at Kapi'olani where a multidisciplinary team of physicians, subspecialists, nurses, perfusionists, pharmacists, respiratory therapists, and more provide this advanced life support device for the children of Hawai‘i. The program collaborates with all the hospitals that care for critically ill neonates and children including Kaiser Medical Center and Tripler Army Medical Center. We encourage health care providers to contact us early using the referral criteria as a guide. We are an ELSO listed organization and have been recognized nationally for our program. Transport service is to be determined on a case by case basis utilizing the experienced Kapi'olani Neonatal/Pediatric Transport Team along with our partners of Hawai‘i Life Flight and AirMed International.