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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Extracorporeal membrane oxygenation and bloodstream infection in congenital diaphragmatic hernia.
Sarah Keene,Theresa R. Grover,Karna Murthy,Eugenia K. Pallotto,Beverly S. Brozanski,Jason Gien,Isabella Zaniletti,Yvette R. Johnson,Ruth Seabrook,Nicolas F M Porta,Beth Haberman,Robert DiGeronimo,Natalie E. Rintoul +12 more
TL;DR: BSI is rare in infants with CDH treated with ECMO in the first week, but increases with the duration of ECMO, but use of antibiotics was extensive and did not correspond to infection frequency.
Journal ArticleDOI
Risk Factors for Hemolysis During Extracorporeal Life Support for Congenital Diaphragmatic Hernia
Yigit S. Guner,Patrick T. Delaplain,John Schomberg,Matteo Di Nardo,Peter T. Yu,Danny Lam,Tim Jancelewicz,Matthew T. Harting,Joanne P. Starr,Danh V. Nguyen +9 more
TL;DR: In this paper, the authors identify risk factors for the development of hemolysis in CDH patients treated with extracorporeal life support (ECLS) for congenital diaphragmatic hernia (CDH).
Journal ArticleDOI
Факторы риска тромботических осложнений и антитромботическая терапия кардиохирургических пациентов детского возраста
Н. Б. Карахалис,М. Н. Карахалис +1 more
TL;DR: The purpose of this review was to systematize the available data on risk factors contributing to the development of thrombotic complications in patients with congenital heart disease and propose measures to prevent thromboembolic complications in this population.
Journal ArticleDOI
Extracorporeal Cardiopulmonary Resuscitation in Acute Fulminant Myocarditis: A Case Report and Review of the Literature
Jesus Andres Rodriguez-Coronado,Jesus Arturo Saldivar-Martinez,Rene Daniel Gomez-Gutierrez,Guillermo Quezada-Valenzuela,Maria Veronica Contreras-Cepeda,Ramon Gerardo Sanchez-Cortes,Miguel A. Paz-Gonzalez,Mario Alberto Castillo-Treviño,Enrique G Villarreal +8 more
TL;DR: A 7-year-old female patient admitted with a diagnosis of acute myocarditis with a rapidly progressive cardiac dysfunction despite conventional vasoactive and inotropic treatment is presented with ventricular fibrillation and subsequent cardiac arrest.
Journal ArticleDOI
Risk Factors and Outcomes for Patients with Bleeding Complications Receiving Extracorporeal Membrane Oxygenation: An Analysis of the Chinese Extracorporeal Life Support Registry.
Chenglong Li,Tong Cai,Haixiu Xie,Liangshan Wang,Feng Yang,Zhongtao Du,Xiaoyang Hong,Chengbin Zhou,Yimin Li,Haibo Qiu,Zhaohui Tang,Hui Zeng,Zhiyong Peng,Xin Li,Xiaotong Hou +14 more
TL;DR: Up to 18.1% of ECMO patients in the CSECLS registry experienced bleeding complications, which was associated with higher in-hospital mortality, especially in patients who received ECPR, patients on circulatory support, and pediatric patients, which should arouse the attention of clinicians.
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