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
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Down syndrome and congenital heart disease: perioperative planning and management
Dennis R. Delany,Stephanie S. Gaydos,Deborah A. Romeo,Heather T. Henderson,Kristi L. Fogg,Angela S. McKeta,Minoo N. Kavarana,John M. Costello +7 more
TL;DR: In this paper, the perioperative planning for children with Down syndrome and hemodynamically significant congenital heart disease is reviewed, including anesthetic considerations, common postoperative issues, nutritional strategies, and discharge planning.
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Arrhythmias Requiring ECMO in Infants Without Structural Congenital Heart Disease
Andrew Well,Arnold A. Fenrich,Daniel P. Shmorhun,Daniel Stromberg,Preston Lavinghousez,Ziv Beckerman,Charles D. Fraser,Carlos M. Mery +7 more
TL;DR: Given the favorable survival, earlier and more aggressive utilization of ECMO may result in improved outcomes, and similar survival and complication rates were found in subgroup analysis of SVT arrhythmias alone.
Journal ArticleDOI
Analysis of Viscoelastic Testing in Pediatric Patients Using the Pediatric Extracorporeal Membrane Oxygenation Outcomes Registry.
Cassondra L Burton,Jamie M Furlong-Dillard,Kahir Jawad,Yana Feygin,John W. Berkenbosch,Deanna R. Todd Tzanetos +5 more
TL;DR: A retrospective review of data on 265 pediatric ECMO patients who underwent VET and were submitted to the Pediatric ECMO Outcomes Registry was conducted to describe common coagulopathies in patients who undergo VET; associations between the VET parameters and traditional tests of coagulation; and comparisons in blood product usage.
Journal ArticleDOI
Association of Cerebral Oxymetry with Short-Term Outcome in Critically ill Children Undergoing Extracorporeal Membrane Oxygenation
Meryl Vedrenne-Cloquet,Raphael Levy,Judith Chareyre,Manoelle Kossorotoff,Mehdi Oualha,Sylvain Renolleau,Marion Grimaud +6 more
TL;DR: In this paper, a single-center retrospective study in a pediatric intensive care unit was conducted to assess whether an impaired cerebral oxygenation was associated with short-term outcome during pediatric extracorporeal membrane oxygenation (ECMO).
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Severe Acute Respiratory Syndrome Coronavirus 2 Infection and Thrombosis: Phlegmasia Cerulea Dolens Presenting with Venous Gangrene in a Child.
Gautam Visveswaran,Kavita Morparia,Shalu Narang,Cindy Sturt,Michael DiVita,Brett Voigt,Amer Hawatmeh,Derrick McQueen,Marc Cohen +8 more
TL;DR: In this paper, a 12-year-old patient with severe acute respiratory syndrome coronavirus 2 infection presented as phlegmasia cerulea dolens with venous gangrene.
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