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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Multi-Lobar Atelectasis in Children Receiving Venoarterial Extracorporeal Membrane Oxygenation for Cardiac Indications
TL;DR: In this article , the authors examined the frequency and characteristics of patients who develop multi-lobar atelectasis early in the course of venoarterial extracorporeal membrane oxygenation (ECMO) and identified factors associated with its occurrence.
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Stroke in pediatric ECMO: a target for prevention and improvement
TL;DR: The prevalence of the diagnosis of stroke in this sample of ECMO patients increased over the two decades studied, and the increase may be associated with a greater utilization of diagnostic neuroimaging in EC MO patients in the recent decade.
Developing and Evaluating an Abbreviated Extracorporeal Membrane Oxygenation (ECMO) Course for Physicians and Nurses
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Hexosylceramides and glycerophosphatidylcholine GPC(36:1) increase in Multi-Organ Dysfunction Syndrome patients with Pediatric Intensive Care Unit Admission over 8-day hospitalization
Mara L. Leimanis-Laurens,Mara L. Leimanis-Laurens,Emily Wolfrum,Karen Ferguson,Jocelyn R. Grunwell,Dominic Sanfilippo,Dominic Sanfilippo,Jeremy W. Prokop,Todd A. Lydic,Surender Rajasekaran,Surender Rajasekaran +10 more
TL;DR: An un-targeted lipidomics approach for a cohort of critically ill pediatric intensive care unit (PICU) patients, undergoing multi-organ dysfunction syndrome (MODS) was compared to sedation controls.
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