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
Reads0
Chats0
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
More filters
Journal ArticleDOI
European Resuscitation Council Guidelines 2021: 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: These European Resuscitation Council Paediatric Life Support (PLS) guidelines, are based on the 2020 International Consensus on Cardiopulmonary Resuscitations Science with Treatment Recommendations.
Journal ArticleDOI
2018 American Heart Association Focused Update on Pediatric Advanced Life Support: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.
Jonathan P. Duff,Alexis A. Topjian,Marc D. Berg,Melissa V. Chan,Sarah E. Haskell,Benny L. Joyner,Javier J. Lasa,Sondra J. Ley,Tia T Raymond,Robert M. Sutton,Mary Fran Hazinski,Dianne L. Atkins +11 more
TL;DR: The writing group reaffirmed the 2015 pediatric advanced life support guideline recommendation that either lidocaine or amiodarone may be used to treat pediatric patients with shock-refractory ventricular fibrillation or pulseless ventricular tachycardia.
Journal ArticleDOI
Clinical controversies in anticoagulation monitoring and antithrombin supplementation for ECMO.
TL;DR: The authors discuss the complexities of anticoagulation monitoring and therapeutic intervention for patients on ECMO and examine the challenges surrounding AT supplementation given both the historical and current perspectives summarized in the literature on these topics.
Journal ArticleDOI
2021 ELSO Adult and Pediatric Anticoagulation Guidelines.
TL;DR: These guidelines are intended for educational use to build the knowledge of physicians and other health professionals in assessing the conditions and managing the treatment of patients undergoing ECLS / ECMO and describe what are believed to be useful and safe practice for extracorporeal life support (ECLS, ECMO) as mentioned in this paper .
Journal ArticleDOI
Structured review of post-cardiotomy extracorporeal membrane oxygenation: Part 2-pediatric patients.
Roberto Lorusso,Giuseppe Maria Raffa,Mariusz Kowalewski,Khalid Alenizy,Niels Sluijpers,Maged Makhoul,Daniel Brodie,Mike McMullan,I-Wen Wang,Paolo Meani,Graeme MacLaren,Heidi J. Dalton,Ryan P. Barbaro,Xaotong Hou,Nicholas C. Cavarocchi,Yih-Sharng Chen,Ravi R. Thiagarajan,Peta M. A. Alexander,Bahaaldin Alsoufi,Christian A. Bermudez,Ashish S. Shah,Jonathan W. Haft,Lilia Oreto,David A. D'Alessandro,Udo Boeken,Glenn J.R. Whitman +25 more
TL;DR: A comprehensive overview of the literature with respect to the prevalence of ECMO use, patient characteristics, ECMO management, and in-hospital and early post-discharge patient outcomes for those treated for post-cardiotomy heart, lung, or heart-lung failure is presented.
References
More filters
Journal ArticleDOI
Contemporary extracorporeal membrane oxygenation for adult respiratory failure: life support in the new era.
TL;DR: Extracorporeal membrane oxygenation (ECMO) has been used in clinical medicine for 40 years but remains controversial therapy, particularly in adult patients with severe respiratory failure as discussed by the authors.
Journal ArticleDOI
Paediatric index of mortality 3: an updated model for predicting mortality in pediatric intensive care*.
Lahn Straney,Archie C. A. Clements,Roger C Parslow,Gale Pearson,Frank Shann,Janet Alexander,Anthony Slater +6 more
TL;DR: The Paediatric Index of Mortality 3 provides an international standard based on a large contemporary dataset for the comparison of risk-adjusted mortality among children admitted to intensive care.
Journal ArticleDOI
Extracorporeal Life Support Registry Report 2004.
TL;DR: Support continues to increase for cardiac failure across all age groups, with survival to discharge rates of 38%, 43%, and 33% for neonatal, pediatric, and adults, respectively.
Journal ArticleDOI
Intensive care unit length of stay: Benchmarking based on Acute Physiology and Chronic Health Evaluation (APACHE) IV.
TL;DR: The APACHE IV model provides clinically useful ICU length of stay predictions for critically ill patient groups, but its accuracy and utility are limited for individual patients.
Journal ArticleDOI
Therapeutic Hypothermia after In-Hospital Cardiac Arrest in Children
TL;DR: This trial compared two temperature interventions in children who had had in-hospital cardiac arrest and found the primary efficacy outcome, survival at 12 months after cardiac arrest with a score of 70 or higher on the Vineland Adaptive Behavior Scales, second edition, was evaluated.
Related Papers (5)
Factors Associated with Bleeding and Thrombosis in Children Receiving Extracorporeal Membrane Oxygenation.
Heidi J. Dalton,Ron W Reeder,Pamela Garcia-Filion,Richard Holubkov,Robert A. Berg,Athena F. Zuppa,Frank W. Moler,Thomas P. Shanley,Murray M. Pollack,Christopher J. L. Newth,John T. Berger,David L. Wessel,Joseph A. Carcillo,Michael J. Bell,Sabrina M. Heidemann,Kathleen L. Meert,Rick Harrison,Allan Doctor,Robert F. Tamburro,J. Michael Dean,Tammara L. Jenkins,Carol Nicholson +21 more