Use of centrifugal pump and extracorporeal membrane oxygenation as cardiopulmonary support in pediatric cardiovascular surgery
Extracorporeal membrane oxygenation is a well-documented resuscitation method in patients with severe hemodynamic and/or respiratory impairment. To describe several aspects related to the use of extracorporeal membrane oxygenation in a pediatric heart center and determine its immediate and late outc...
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Veröffentlicht in: | Arquivos brasileiros de cardiologia 2008-04, Vol.90 (4), p.216-220 |
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creator | Atik, Fernando A Castro, Rodrigo Santos de Succi, Fabiana Moreira Passos Barros, Maria Regina Afiune, Cristina Succi, Guilherme de Menezes Corso, Ricardo B Faber, Cristiano N Afiune, Jorge Y Caneo, Luiz Fernando |
description | Extracorporeal membrane oxygenation is a well-documented resuscitation method in patients with severe hemodynamic and/or respiratory impairment.
To describe several aspects related to the use of extracorporeal membrane oxygenation in a pediatric heart center and determine its immediate and late outcomes.
Between October 2005 and January 2007, 10 patients who were submitted to pediatric cardiac surgery underwent extracorporeal membrane oxygenation implant. Median age was 58.5 days (40% neonates) and median body weight was 3.9 kg. Circulatory assistance was initiated aiming at the recovery and the weaning protocols followed daily clinical and echocardiographic criteria. Support was discontinued when transplant was contraindicated, when the patient was unable to recover or when survival was considered to be limited by a multidisciplinary team.
Extracorporeal membrane oxygenation was employed after corrective or palliative heart surgery in 80% and preoperatively in the remaining ones. It was most often indicated for irresponsive hemodynamic instability (40%), post-cardiotomy shock (20%) and post-cardiac arrest (20%). The mean duration on support was 58 +/- 37 hours. Weaning was successfully in 50% of the cases and 30% were discharged home. Actuarial survival was 40%, 30% and 20% at 30 days, 3 months and 24 months, respectively.
Extracorporeal membrane oxygenation is an effective and useful tool for the resuscitation of patients presenting severe hemodynamic and/or respiratory failure in the perioperative period of pediatric cardiovascular surgery. |
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To describe several aspects related to the use of extracorporeal membrane oxygenation in a pediatric heart center and determine its immediate and late outcomes.
Between October 2005 and January 2007, 10 patients who were submitted to pediatric cardiac surgery underwent extracorporeal membrane oxygenation implant. Median age was 58.5 days (40% neonates) and median body weight was 3.9 kg. Circulatory assistance was initiated aiming at the recovery and the weaning protocols followed daily clinical and echocardiographic criteria. Support was discontinued when transplant was contraindicated, when the patient was unable to recover or when survival was considered to be limited by a multidisciplinary team.
Extracorporeal membrane oxygenation was employed after corrective or palliative heart surgery in 80% and preoperatively in the remaining ones. It was most often indicated for irresponsive hemodynamic instability (40%), post-cardiotomy shock (20%) and post-cardiac arrest (20%). The mean duration on support was 58 +/- 37 hours. Weaning was successfully in 50% of the cases and 30% were discharged home. Actuarial survival was 40%, 30% and 20% at 30 days, 3 months and 24 months, respectively.
Extracorporeal membrane oxygenation is an effective and useful tool for the resuscitation of patients presenting severe hemodynamic and/or respiratory failure in the perioperative period of pediatric cardiovascular surgery.</description><identifier>EISSN: 1678-4170</identifier><identifier>PMID: 18516379</identifier><language>eng ; por</language><publisher>Brazil</publisher><subject>Cardiopulmonary Resuscitation - adverse effects ; Cardiovascular Surgical Procedures - adverse effects ; Child ; Child, Preschool ; Extracorporeal Membrane Oxygenation - adverse effects ; Extracorporeal Membrane Oxygenation - mortality ; Female ; Follow-Up Studies ; Heart Arrest - etiology ; Heart Arrest - therapy ; Humans ; Infant ; Infant, Newborn ; Male ; Respiratory Insufficiency - etiology ; Respiratory Insufficiency - therapy ; Survival Analysis ; Time Factors ; Treatment Outcome ; Ventilator Weaning - statistics & numerical data</subject><ispartof>Arquivos brasileiros de cardiologia, 2008-04, Vol.90 (4), p.216-220</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18516379$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Atik, Fernando A</creatorcontrib><creatorcontrib>Castro, Rodrigo Santos de</creatorcontrib><creatorcontrib>Succi, Fabiana Moreira Passos</creatorcontrib><creatorcontrib>Barros, Maria Regina</creatorcontrib><creatorcontrib>Afiune, Cristina</creatorcontrib><creatorcontrib>Succi, Guilherme de Menezes</creatorcontrib><creatorcontrib>Corso, Ricardo B</creatorcontrib><creatorcontrib>Faber, Cristiano N</creatorcontrib><creatorcontrib>Afiune, Jorge Y</creatorcontrib><creatorcontrib>Caneo, Luiz Fernando</creatorcontrib><title>Use of centrifugal pump and extracorporeal membrane oxygenation as cardiopulmonary support in pediatric cardiovascular surgery</title><title>Arquivos brasileiros de cardiologia</title><addtitle>Arq Bras Cardiol</addtitle><description>Extracorporeal membrane oxygenation is a well-documented resuscitation method in patients with severe hemodynamic and/or respiratory impairment.
To describe several aspects related to the use of extracorporeal membrane oxygenation in a pediatric heart center and determine its immediate and late outcomes.
Between October 2005 and January 2007, 10 patients who were submitted to pediatric cardiac surgery underwent extracorporeal membrane oxygenation implant. Median age was 58.5 days (40% neonates) and median body weight was 3.9 kg. Circulatory assistance was initiated aiming at the recovery and the weaning protocols followed daily clinical and echocardiographic criteria. Support was discontinued when transplant was contraindicated, when the patient was unable to recover or when survival was considered to be limited by a multidisciplinary team.
Extracorporeal membrane oxygenation was employed after corrective or palliative heart surgery in 80% and preoperatively in the remaining ones. It was most often indicated for irresponsive hemodynamic instability (40%), post-cardiotomy shock (20%) and post-cardiac arrest (20%). The mean duration on support was 58 +/- 37 hours. Weaning was successfully in 50% of the cases and 30% were discharged home. Actuarial survival was 40%, 30% and 20% at 30 days, 3 months and 24 months, respectively.
Extracorporeal membrane oxygenation is an effective and useful tool for the resuscitation of patients presenting severe hemodynamic and/or respiratory failure in the perioperative period of pediatric cardiovascular surgery.</description><subject>Cardiopulmonary Resuscitation - adverse effects</subject><subject>Cardiovascular Surgical Procedures - adverse effects</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Extracorporeal Membrane Oxygenation - adverse effects</subject><subject>Extracorporeal Membrane Oxygenation - mortality</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Heart Arrest - etiology</subject><subject>Heart Arrest - therapy</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Respiratory Insufficiency - etiology</subject><subject>Respiratory Insufficiency - therapy</subject><subject>Survival Analysis</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Ventilator Weaning - statistics & numerical data</subject><issn>1678-4170</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kM1qwzAQhEWhNGnaVyg69WawJNuSjyX0DwK9pGezklfBxbZUySrJpc9eQZPTwuw3AzNXZM0aqYqKyXJFbmP8KkvOpahvyIqpmjVCtmvy-xmROksNzksYbDrASH2aPIW5p3hcAhgXvAuY9QknHWDO_PF0wBmWwc0UIjUQ-sH5NE5uhnCiMfnsWOgwU4_9ADnYnKEfiCaNEDITDhhOd-Tawhjx_nw3ZP_yvN--FbuP1_ft067wddUWvTWaaTSaSxCglFBaQamltZopaWpecSV5WYIWVa0Vx8baMj9YC43lshIb8vgf64P7ThiXbhqiwXHMbVyKnWQN56zlGXw4g0lP2Hc-DFOu1F0GE397-Wqb</recordid><startdate>200804</startdate><enddate>200804</enddate><creator>Atik, Fernando A</creator><creator>Castro, Rodrigo Santos de</creator><creator>Succi, Fabiana Moreira Passos</creator><creator>Barros, Maria Regina</creator><creator>Afiune, Cristina</creator><creator>Succi, Guilherme de Menezes</creator><creator>Corso, Ricardo B</creator><creator>Faber, Cristiano N</creator><creator>Afiune, Jorge Y</creator><creator>Caneo, Luiz Fernando</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200804</creationdate><title>Use of centrifugal pump and extracorporeal membrane oxygenation as cardiopulmonary support in pediatric cardiovascular surgery</title><author>Atik, Fernando A ; Castro, Rodrigo Santos de ; Succi, Fabiana Moreira Passos ; Barros, Maria Regina ; Afiune, Cristina ; Succi, Guilherme de Menezes ; Corso, Ricardo B ; Faber, Cristiano N ; Afiune, Jorge Y ; Caneo, Luiz Fernando</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p549-dfcb1becb27a3a8838b8a0b7ffb187c524287200ab345b82e6ff087c19a6f2743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng ; por</language><creationdate>2008</creationdate><topic>Cardiopulmonary Resuscitation - adverse effects</topic><topic>Cardiovascular Surgical Procedures - adverse effects</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Extracorporeal Membrane Oxygenation - adverse effects</topic><topic>Extracorporeal Membrane Oxygenation - mortality</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Heart Arrest - etiology</topic><topic>Heart Arrest - therapy</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Respiratory Insufficiency - etiology</topic><topic>Respiratory Insufficiency - therapy</topic><topic>Survival Analysis</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Ventilator Weaning - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Atik, Fernando A</creatorcontrib><creatorcontrib>Castro, Rodrigo Santos de</creatorcontrib><creatorcontrib>Succi, Fabiana Moreira Passos</creatorcontrib><creatorcontrib>Barros, Maria Regina</creatorcontrib><creatorcontrib>Afiune, Cristina</creatorcontrib><creatorcontrib>Succi, Guilherme de Menezes</creatorcontrib><creatorcontrib>Corso, Ricardo B</creatorcontrib><creatorcontrib>Faber, Cristiano N</creatorcontrib><creatorcontrib>Afiune, Jorge Y</creatorcontrib><creatorcontrib>Caneo, Luiz Fernando</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Arquivos brasileiros de cardiologia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Atik, Fernando A</au><au>Castro, Rodrigo Santos de</au><au>Succi, Fabiana Moreira Passos</au><au>Barros, Maria Regina</au><au>Afiune, Cristina</au><au>Succi, Guilherme de Menezes</au><au>Corso, Ricardo B</au><au>Faber, Cristiano N</au><au>Afiune, Jorge Y</au><au>Caneo, Luiz Fernando</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Use of centrifugal pump and extracorporeal membrane oxygenation as cardiopulmonary support in pediatric cardiovascular surgery</atitle><jtitle>Arquivos brasileiros de cardiologia</jtitle><addtitle>Arq Bras Cardiol</addtitle><date>2008-04</date><risdate>2008</risdate><volume>90</volume><issue>4</issue><spage>216</spage><epage>220</epage><pages>216-220</pages><eissn>1678-4170</eissn><abstract>Extracorporeal membrane oxygenation is a well-documented resuscitation method in patients with severe hemodynamic and/or respiratory impairment.
To describe several aspects related to the use of extracorporeal membrane oxygenation in a pediatric heart center and determine its immediate and late outcomes.
Between October 2005 and January 2007, 10 patients who were submitted to pediatric cardiac surgery underwent extracorporeal membrane oxygenation implant. Median age was 58.5 days (40% neonates) and median body weight was 3.9 kg. Circulatory assistance was initiated aiming at the recovery and the weaning protocols followed daily clinical and echocardiographic criteria. Support was discontinued when transplant was contraindicated, when the patient was unable to recover or when survival was considered to be limited by a multidisciplinary team.
Extracorporeal membrane oxygenation was employed after corrective or palliative heart surgery in 80% and preoperatively in the remaining ones. It was most often indicated for irresponsive hemodynamic instability (40%), post-cardiotomy shock (20%) and post-cardiac arrest (20%). The mean duration on support was 58 +/- 37 hours. Weaning was successfully in 50% of the cases and 30% were discharged home. Actuarial survival was 40%, 30% and 20% at 30 days, 3 months and 24 months, respectively.
Extracorporeal membrane oxygenation is an effective and useful tool for the resuscitation of patients presenting severe hemodynamic and/or respiratory failure in the perioperative period of pediatric cardiovascular surgery.</abstract><cop>Brazil</cop><pmid>18516379</pmid><tpages>5</tpages></addata></record> |
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source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
subjects | Cardiopulmonary Resuscitation - adverse effects Cardiovascular Surgical Procedures - adverse effects Child Child, Preschool Extracorporeal Membrane Oxygenation - adverse effects Extracorporeal Membrane Oxygenation - mortality Female Follow-Up Studies Heart Arrest - etiology Heart Arrest - therapy Humans Infant Infant, Newborn Male Respiratory Insufficiency - etiology Respiratory Insufficiency - therapy Survival Analysis Time Factors Treatment Outcome Ventilator Weaning - statistics & numerical data |
title | Use of centrifugal pump and extracorporeal membrane oxygenation as cardiopulmonary support in pediatric cardiovascular surgery |
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