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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ELSO Adult and Pediatric Anticoagulation Guidelines
TL;DR: These guidelines for adult and pediatric anticoagulation for extracorporeal membrane oxygenation are intended for educational use to build the knowledge of physicians and other health professionals in assessing the conditions and managing the treatment of patients undergoing ECLS / ECMO.
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Highlights from the Extracorporeal Life Support Organization Registry: 2006-2017.
Viviane G. Nasr,Lakshmi Raman,Ryan P. Barbaro,Yigit S. Guner,Joseph E. Tonna,Kollengode Ramanathan,Federico Pappalardo,Ravi R. Thiagarajan,Peta M. A. Alexander +8 more
TL;DR: The Extracorporeal membrane oxygenation (ECMO) registry was established in 1984 to collect data on patients receiving ECMO support to help improve outcomes of these patients as mentioned in this paper.
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Hemocompatibility-Related Adverse Events and Survival on Venoarterial Extracorporeal Life Support: An ELSO Registry Analysis.
Mabel Chung,F. Cabezas,Jose Nunez,Kevin Kennedy,Katelyn Rick,Peter Rycus,Mandeep R. Mehra,A. Reshad Garan,Robb D. Kociol,E. Wilson Grandin +9 more
TL;DR: Although decreasing, HRAEs remain common during VA-ECLS and have a cumulative association with survival, and differential risk factors for bleeding and thrombotic complications exist and raise the possibility of a tailored approach to ECLS management.
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Establishing and Sustaining an ECPR Program.
TL;DR: The current status of ECPR for acute cardiac failure and the components the authors believe are necessary to develop and sustain a reliable and resilient program are reviewed.
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Neonatal cardiac ECMO in 2019 and beyond.
TL;DR: The indications for neonatal cardiac ECMO, the difficult process of patients' selection and identifying the right timing to initiate ECMO are discussed, as well as pros and cons for peripheral vs. central cannulation are outlined, and an overview of current insights regarding supportive care in neonatal ECMO is given.
References
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