Pediatric Extracorporeal Life Support Organization Registry International Report 2016.
Ryan P. Barbaro,Matthew L. Paden,Yigit S. Guner,Lakshmi Raman,Lindsay M. Ryerson,Peta M. A. Alexander,Viviane G. Nasr,Melania M. Bembea,Peter Rycus,Ravi R. Thiagarajan +9 more
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TLDR
Adverse events including neurologic events were common during ECLS, a fact that underscores the opportunity and need to promote quality improvement work.Abstract:
The purpose of this report is to describe the international growth, outcomes, complications, and technology used in pediatric extracorporeal life support (ECLS) from 2009 to 2015 as reported by participating centers in the Extracorporeal Life Support Organization (ELSO). To date, there are 59,969 children who have received ECLS in the ELSO Registry; among those, 21,907 received ECLS since 2009 with an overall survival to hospital discharge rate of 61%. In 2009, 2,409 ECLS cases were performed at 157 centers. By 2015, that number grew to 2,992 cases in 227 centers, reflecting a 24% increase in patients and 55% growth in centers. ECLS delivered to neonates (0-28 days) for respiratory support was the largest subcategory of ECLS among children <18-years old. Overall, 48% of ECLS was delivered for respiratory support and 52% was for cardiac support or extracorporeal life support to support cardiopulmonary resuscitation (ECPR). During the study period, over half of children were supported on ECLS with centrifugal pumps (51%) and polymethylpentene oxygenators (52%). Adverse events including neurologic events were common during ECLS, a fact that underscores the opportunity and need to promote quality improvement work.read more
Citations
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Outcomes following venoarterial extracorporeal membrane oxygenation in children with refractory cardiogenic disease.
TL;DR: Pediatric VA-ECMO for refractory cardiogenic shock appears to be a satisfactory salvage therapy to various fatal diseases in this retrospective study and prolonged prothrombin time > 6 s and elevated lactate level 24 h were significant predictors of 30-day mortality.
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International survey of neuromonitoring and neurodevelopmental outcome in children and adults supported on extracorporeal membrane oxygenation in Europe
Mirjana Cvetkovic,Giovanni Chiarini,Giovanni Chiarini,Mirko Belliato,Thijs Delnoij,Paolo Zanatta,Fabio Silvio Taccone,Dinis dos Reis Miranda,Mark Davidson,Nashwa Matta,Carl Davis,Hanneke IJsselstijn,Matthieu Schmidt,Lars Mikael Broman,Lars Mikael Broman,Dirk W. Donker,Dirk Vlasselaers,Piero David,Matteo Di Nardo,Ralf Michael Muellenbach,Thomas Mueller,Nicholas A Barrett,Roberto Lorusso,Jan Belohlavek,Aparna Hoskote +24 more
TL;DR: Adverse neurological events during extracorporeal membrane oxygenation (ECMO) are common and may be associated with devastating consequences. Close monitoring, early identification and early identification of adverse events are needed as mentioned in this paper.
Journal ArticleDOI
Telemedicine in Pediatric Critical Care: A Retrospective Study in an International Extracorporeal Membrane Oxygenation Program.
Alejandro J Lopez-Magallon,Lucas Saenz,Jorge Lara Gutierrez,Claudia X. Flórez,Andrew D Althouse,Mahesh S. Sharma,Álvaro Durán,Leonardo Salazar,Ricardo Munoz +8 more
TL;DR: The implementation of telemedicine-assisted interventions in a pediatric ECMO program delivered valuable diagnostic and therapeutic advice, was associated with significant changes in selection criteria and model of care, and an increased hospital survival.
Journal ArticleDOI
Acute Brain Injury in Infant Venoarterial Extracorporeal Membrane Oxygenation: An Autopsy Study.
TL;DR: Hypoxic-ischemic brain injury was the most common type of brain injury, and further associations with preextracorporeal membrane oxygenation acute brain injury require additional exploration.
Journal ArticleDOI
ECMO for Neonatal Sepsis in 2019.
TL;DR: ECMO provides cardiorespiratory support to allow adequate organ perfusion during the time for antibiotics and source control surgery (if needed) to occur.
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