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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Extracorporeal Membrane Oxygenation Survival-More Than Just Decannulation.
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Correlation between optic nerve sheath diameter and extracorporeal life support time
TL;DR: The study found a correlation between ECLS time and ONSD at 24 h post surgery and found variations in the ONSD even in patients without signs or symptoms of increased ICP.
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Nitric Oxide on Extracorporeal Membrane Oxygenation in Neonates and Children (NECTAR Trial): Protocol for a Randomized Controlled Trial
Adrian C. Mattke,Kerry Johnson,Kristen Gibbons,Debbie Long,Jeremy D. Robertson,Prem Venugopal,Antje Blumenthal,Andreas Schibler,Luregn G. Schlapbach +8 more
TL;DR: The Nitric Oxide on Extracorporeal Membrane Oxygenation in Neonates and Children (NECTAR) trial as mentioned in this paper is an open-label, parallel-group, pilot randomized controlled trial to be conducted at a single center.
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Disentangling the causes of RBC loss and anemia in ECMO patients: Some questions answered?
TL;DR: In this article , Bilodeau et al. proposed the use of the RBC loss index (RLI), a novel metric based upon changes in hematocrit and the volume of transfused RBCs, calculated as mL of RBC lost per liter of total (patient + circuit) volume per hour.
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Correlación del diámetro de la vaina del nervio óptico y el tiempo de circulación extracorpórea
TL;DR: In this paper, a tamano muestral of 23 participants with CEC and DVNO was used to evaluate the relationship between the tiempos of circulacion extracorporea (CEC) and pinzamiento aortico and diametro de la vaina del nervio optico.
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