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
Hauptverfasser: 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
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container_title Arquivos brasileiros de cardiologia
container_volume 90
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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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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