Header

UZH-Logo

Maintenance Infos

Extracorporeal membrane oxygenation support in pediatrics


Erdil, Tugba; Lemme, Frithjof; Konetzka, Alexander; Cavigelli-Brunner, Anna; Niesse, Oliver; Dave, Hitendu; Hasenclever, Peter; Hübler, Michael; Schweiger, Martin (2019). Extracorporeal membrane oxygenation support in pediatrics. Annals of Cardiothoracic Surgery, 8(1):109-115.

Abstract

Extracorporeal membrane oxygenation (ECMO) is a general term that describes the short- or long-term support of the heart and/or lungs in neonates, children and adults. Due to favorable results and a steady decline in absolute contraindications, its use is increasing worldwide. Indications in children differ from those in adults. The ECMO circuit as well as cannulation strategies also are individualized, considering their implications in children. The aim of this article is to review the clinical indications, different circuits, and cannulation strategies for ECMO. We also present our institutional experience with 92 pediatric ECMO patients (34 neonates, 58 pediatric) with the majority (80%) of veno-arterial placements between 2014 until 2018. We further to also highlight ECMO use in the setting of cardiac arrest [extracorporeal cardiopulmonary resuscitation (CPR) or eCPR].

Abstract

Extracorporeal membrane oxygenation (ECMO) is a general term that describes the short- or long-term support of the heart and/or lungs in neonates, children and adults. Due to favorable results and a steady decline in absolute contraindications, its use is increasing worldwide. Indications in children differ from those in adults. The ECMO circuit as well as cannulation strategies also are individualized, considering their implications in children. The aim of this article is to review the clinical indications, different circuits, and cannulation strategies for ECMO. We also present our institutional experience with 92 pediatric ECMO patients (34 neonates, 58 pediatric) with the majority (80%) of veno-arterial placements between 2014 until 2018. We further to also highlight ECMO use in the setting of cardiac arrest [extracorporeal cardiopulmonary resuscitation (CPR) or eCPR].

Statistics

Citations

Altmetrics

Downloads

8 downloads since deposited on 10 Jan 2020
8 downloads since 12 months
Detailed statistics

Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Vascular Surgery
Dewey Decimal Classification:610 Medicine & health
Uncontrolled Keywords:Extracorporeal membrane oxygenation (ECMO) extracorporeal cardiopulmonary resuscitation (eCPR) pediatrics
Language:English
Date:January 2019
Deposited On:10 Jan 2020 07:45
Last Modified:01 Feb 2020 17:52
Publisher:AME Publishing Company
ISSN:2225-319X
OA Status:Green
Free access at:PubMed ID. An embargo period may apply.
Publisher DOI:https://doi.org/10.21037/acs.2018.09.08
PubMed ID:30854319

Download

Green Open Access

Download PDF  'Extracorporeal membrane oxygenation support in pediatrics'.
Preview
Content: Published Version
Filetype: PDF
Size: 275kB
View at publisher