Extracorporeal membrane oxygenation support in pediatrics.

Extracorporeal membrane oxygenation (ECMO) extracorporeal cardiopulmonary resuscitation (eCPR) pediatrics

Journal

Annals of cardiothoracic surgery
ISSN: 2225-319X
Titre abrégé: Ann Cardiothorac Surg
Pays: China
ID NLM: 101605877

Informations de publication

Date de publication:
Jan 2019
Historique:
entrez: 12 3 2019
pubmed: 12 3 2019
medline: 12 3 2019
Statut: ppublish

Résumé

Extracorporeal membrane oxygenation (ECMO) is a general term that describes the short- or long-term support of the heart and/or lungs in neonates, children and adults. Due to favorable results and a steady decline in absolute contraindications, its use is increasing worldwide. Indications in children differ from those in adults. The ECMO circuit as well as cannulation strategies also are individualized, considering their implications in children. The aim of this article is to review the clinical indications, different circuits, and cannulation strategies for ECMO. We also present our institutional experience with 92 pediatric ECMO patients (34 neonates, 58 pediatric) with the majority (80%) of veno-arterial placements between 2014 until 2018. We further to also highlight ECMO use in the setting of cardiac arrest [extracorporeal cardiopulmonary resuscitation (CPR) or eCPR].

Identifiants

pubmed: 30854319
doi: 10.21037/acs.2018.09.08
pii: acs-08-01-109
pmc: PMC6379197
doi:

Types de publication

Editorial

Langues

eng

Pagination

109-115

Déclaration de conflit d'intérêts

Conflicts of Interest: The authors have no conflicts of interest to declare.

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Auteurs

Tugba Erdil (T)

Pediatric Cardiovascular Surgery, Pediatric Heart Center, Department of Surgery, University Children's Hospital Zurich, Zurich, Switzerland.
Children's Research Centre, University of Zurich, Zurich, Switzerland.

Frithjof Lemme (F)

Pediatric Cardiovascular Surgery, Pediatric Heart Center, Department of Surgery, University Children's Hospital Zurich, Zurich, Switzerland.
Children's Research Centre, University of Zurich, Zurich, Switzerland.

Alexander Konetzka (A)

Pediatric Cardiovascular Surgery, Pediatric Heart Center, Department of Surgery, University Children's Hospital Zurich, Zurich, Switzerland.
Children's Research Centre, University of Zurich, Zurich, Switzerland.

Anna Cavigelli-Brunner (A)

Children's Research Centre, University of Zurich, Zurich, Switzerland.
Pediatric Cardiology, Pediatric Heart Center, Department of Surgery, University Children's Hospital Zurich, Zurich, Switzerland.

Oliver Niesse (O)

Children's Research Centre, University of Zurich, Zurich, Switzerland.
Pediatric Cardiology, Pediatric Heart Center, Department of Surgery, University Children's Hospital Zurich, Zurich, Switzerland.

Hitendu Dave (H)

Pediatric Cardiovascular Surgery, Pediatric Heart Center, Department of Surgery, University Children's Hospital Zurich, Zurich, Switzerland.
Children's Research Centre, University of Zurich, Zurich, Switzerland.

Peter Hasenclever (P)

Pediatric Cardiovascular Surgery, Pediatric Heart Center, Department of Surgery, University Children's Hospital Zurich, Zurich, Switzerland.
Children's Research Centre, University of Zurich, Zurich, Switzerland.

Michael Hübler (M)

Pediatric Cardiovascular Surgery, Pediatric Heart Center, Department of Surgery, University Children's Hospital Zurich, Zurich, Switzerland.
Children's Research Centre, University of Zurich, Zurich, Switzerland.

Martin Schweiger (M)

Pediatric Cardiovascular Surgery, Pediatric Heart Center, Department of Surgery, University Children's Hospital Zurich, Zurich, Switzerland.
Children's Research Centre, University of Zurich, Zurich, Switzerland.

Classifications MeSH