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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Management of Congenital Diaphragmatic Hernia Treated With Extracorporeal Life Support: Interim Guidelines Consensus Statement From the Extracorporeal Life Support Organization.
Yigit S. Guner,Yigit S. Guner,Tim Jancelewicz,Matteo Di Nardo,Peter T. Yu,Peter T. Yu,Mary Brindle,Adam M. Vogel,Sharada H. Gowda,Theresa R. Grover,Lindsay Johnston,Burhan Mahmood,Brian W. Gray,Rachel Chapman,Sarah Keene,Natalie E. Rintoul,John P. Cleary,Amir H Ashrafi,Matthew T. Harting +18 more
TL;DR: In this paper, the authors reviewed existing evidence and developed management recommendations for CDH patients treated with extracorporeal life support (ECLS) for infants with diaphragmatic hernia.
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Pediatric In-Hospital Cardiac Arrest and Cardiopulmonary Resuscitation
TL;DR: Providers who care for critically ill children should understand cardiac arrest and CPR epidemiology and physiology, current CPR guidelines, and the roles of various resuscitation therapies.
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Neuromonitoring in the neonatal ECMO patient
TL;DR: This review will explore the the indications, advantages, disadvantages, timing, frequency, duration, and any known correlation with neurodevelopmental outcomes of common types of neuromonitoring in the neonatal ECMO population.
Journal ArticleDOI
Extracorporeal Membrane Oxygenation: Beyond Cardiac Surgery and Intensive Care Unit: Unconventional Uses and Future Perspectives
TL;DR: There are now several potential situations outside the ICU and outside the cardiac surgery setting where ECMO is being successfully employed to provide cardio-respiratory support, including: high-risk structural heart interventions, ventricular tachycardia ablation, cesarean section, trauma, and, most interestingly, non-cardiac elective procedures in patients at high risk for perioperative cardiac or respiratory complications.
Journal ArticleDOI
Outcomes of infants with congenital diaphragmatic hernia treated with venovenous versus venoarterial extracorporeal membrane oxygenation: A propensity score approach.
Yigit S. Guner,Yigit S. Guner,Matthew T. Harting,Kelly Fairbairn,Patrick T. Delaplain,Lishi Zhang,Yanjun Chen,Mustafa H. Kabeer,Peter T. Yu,John P. Cleary,James E. Stein,Charles J.H. Stolar,Danh V. Nguyen +12 more
TL;DR: It is revalidated that ECMO mode does not significantly affect mortality or SNI in infants with CDH and neither mode appears consistently superior across all situations, and clinical judgment should remain a multifactorial decision.
References
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