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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Neurological Monitoring and Complications of Pediatric Extracorporeal Membrane Oxygenation Support
TL;DR: The pathophysiology and incidence of neurological complications in children supported on extracorporeal membrane oxygenation, factors influencing the incidence of these complications, commonly used neurological monitoring modalities, and outcomes for this complex patient population are discussed.
Journal ArticleDOI
Paediatric Life Support
Patrick Van de Voorde,N. M. Turner,Jana Djakow,Nieves de Lucas,Abel Martinez-Mejias,Dominique Biarent,Robert Bingham,O. Brissaud,Florian Hoffmann,Groa Bjork Johannesdottir,Torsten Lauritsen,Ian Maconochie +11 more
TL;DR: The European Resuscitation Council (ERC) Paediatric life support (PLS) guidelines are based on the 2020 International Consensus on Cardiopulmonary Resuscitations Science with Treatment Recommendations of the International Liaison Committee on RESuscitation (ILCOR) as mentioned in this paper, which provides guidelines on the management of critically ill or injured infants, children and adolescents before, during and after respiratory/cardiac arrest.
Journal ArticleDOI
Relationship Between Time to Left Atrial Decompression and Outcomes in Patients Receiving Venoarterial Extracorporeal Membrane Oxygenation Support: A Multicenter Pediatric Interventional Cardiology Early-Career Society Study.
Jeffrey D. Zampi,Fares Alghanem,Sunkyung Yu,Ryan Callahan,Christopher L. Curzon,Jeffrey W. Delaney,Robert G. Gray,Carrie E. Herbert,Ryan Leahy,Ray Lowery,Sara K. Pasquali,Priti M. Patel,Diego Porras,Shabana Shahanavaz,Ravi R. Thiagarajan,Sara M. Trucco,Mariel E. Turner,Surendranath R. Veeram Reddy,Shawn C. West,Wendy Whiteside,Bryan H. Goldstein +20 more
TL;DR: Although no survival benefit was demonstrated, the known morbidities associated with prolonged extracorporeal membrane oxygenation use may justify a recommendation for early left atrial decompression.
Journal ArticleDOI
Anticoagulation in Neonatal ECMO: An Enigma Despite a Lot of Effort!
TL;DR: An overview of hemostatic alterations, anticoagulation, monitoring and management, novel antICOagulant use, and circuit modifications for neonatal ECMO is provided.
Journal ArticleDOI
Mechanical circulatory support in children: past, present and future
TL;DR: There is now emphasis on timely implantation of ventricular assist devices (VADs) to preserve or recover end-organ function, and increased focus on post-implant management to improve the stroke rate.
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