Extracorporeal Membrane Oxygenation (ECMO) Support in Special Patient Populations-The Bidirectional Glenn and Fontan Circulations.
TLDR
Current evidence and techniques for ECMO support of single ventricle patients who have undergone a stage II bidirectional Glenn procedure or the stage III Fontan procedure are focused upon.Abstract:
Extracorporeal membrane oxygenation (ECMO) is a support modality used within the pediatric cardiac ICU population as a bridge to recovery or decision in the setting of acute myocardial decompensation, support for combined cardiopulmonary failure or in the setting of refractory cardiopulmonary arrest. Patients with univentricular physiology are at particular risk for decompensation requiring ECMO support. This review will focus upon current evidence and techniques for ECMO support of single ventricle patients who have undergone a stage II bidirectional Glenn procedure or the stage III Fontan procedure.read more
Citations
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Pediatric Extracorporeal Cardiopulmonary Resuscitation ELSO Guidelines
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Protective effect of extracorporeal membrane oxygenation on intestinal mucosal injury after cardiopulmonary resuscitation in pigs.
Yong Liang,Chunsheng Li,Bo Liu,Qiang Zhang,Xiao-Li Yuan,Yun Zhang,Ji-Yang Ling,Lianxing Zhao +7 more
TL;DR: Overall, ECMO after CPR reduced the intestinal mucosal barrier injury after spontaneous circulation recovery, and the mechanism involved decreased inflammation and apoptosis.
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Mechanical circulatory support in paediatric population.
TL;DR: In this article, the authors provide a comprehensive analysis of the current literature on extra-corporeal membrane oxygenation for cardiac support in the paediatric and neonatal population and evaluate its effectiveness in comparison to other forms of mechanical circulatory support and focus on areas for future development.
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Extracorporeal Membrane Oxygenation in Congenital Heart Disease
TL;DR: The use of ECMO in children with congenital heart disease is reviewed, with significant improvements in ECMO utilization, morbidity, and mortality.
Journal ArticleDOI
Right Atrial Cannulation via Thoracotomy for Emergent Extracorporeal Membrane Oxygenation in Pediatric Patients with Prior Sternotomy.
TL;DR: It is concluded that right atrial cannulation via right thoracotomy can be a useful technique for venous cannulation in cases with prior sternotomy and is particularly useful in Cases with Glenn circulation.
References
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Redefining expectations of long-term survival after the Fontan procedure: twenty-five years of follow-up from the entire population of Australia and New Zealand.
Yves d'Udekem,Ajay J. Iyengar,John C. Galati,Victoria Forsdick,Robert G. Weintraub,Gavin R. Wheaton,Andrew Bullock,Robert N. Justo,Leeanne Grigg,Gary F. Sholler,Sarah A. Hope,Dorothy J. Radford,Thomas L. Gentles,David S. Celermajer,David S. Winlaw +14 more
TL;DR: The long-term survival of the Australia and New Zealand Fontan population is excellent and patients with an AP Fontan experience survival of 76% at 25 years, while patients with hypoplastic left heart syndrome are at higher risk of failure.
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Contemporary Outcomes after the Fontan Procedure: A Pediatric Heart Network Multicenter Study
Page A.W. Anderson,Lynn A. Sleeper,Lynn Mahony,Steven D. Colan,Andrew M. Atz,Roger E. Breitbart,Welton M. Gersony,Dianne Gallagher,Tal Geva,Renee Margossian,Brian W. McCrindle,Stephen M. Paridon,Marcy L. Schwartz,Mario Stylianou,Richard V. Williams,Bernard J. Clark +15 more
TL;DR: Moves of ventricular systolic function and functional health status, although lower on average in the cohort compared with control subjects, were in the majority of subjects within 2 standard deviations of the mean for control subjects.
Contemporary Outcomes After the Fontan Procedure: A Pediatric Heart
Richard V. Williams,Bernard J. Clark,Brian W. McCrindle,Stephen M. Paridon,Marcy L. Schwartz,Roger E. Breitbart,Welton M. Gersony,Dianne Gallagher,Tal Geva,A. W. Anderson,Lynn A. Sleeper,Lynn Mahony,Steven D. Colan +12 more
TL;DR: In this article, Stylianou et al. studied the effect of Fontan procedures on the outcome of the human heart after the Fontan procedure and found that the outcome was significantly worse for the younger patients.