Results of ECMO therapy in cohorts of neonates and children


Authors: V. Vobruba 1;  doc. MUDr. Jan Bělohlávek, Ph.D. 2;  V. Rohn 4;  T. Grus 3;  M. Bašková 1;  O. Černá 1;  J. Fichtl 3;  L. Hřídelová 1;  J. Hřídel 1;  G. Hodková 3;  P. Klement 1;  D. Lorenčík 1;  F. Mlejnský 3;  R. Nečasová 1;  D. Nikitinský 3;  P. Pokorná 1;  P. Srnský 1;  Z. Švorcová 3;  I. Vykydal 3
Authors‘ workplace: Klinika dětského a dorostového lékařství VFN a 1. LF UK 1;  II. interní klinika – klinika kardiologie a angiologie VFN a 1. LF UK 2;  II. chirurgická klinika kardiovaskulární chirurgie VFN a 1. LF UK 3;  Klinika kardiovaskulární chirurgie 2. LF UK a FN Motol 4
Published in: Anest. intenziv. Med., 26, 2015, č. 4, s. 213-219
Category: Intensive Care Medicine - Original Paper

Overview

Objective:
Retrospective evaluation of a sample of 21 neonates and children treated with ECMO.

Design:
Observational, retrospective with prospective data collection.

Setting:
Paediatric and neonatal intensive care unit of a teaching hospital.

Materials and methods:
Between October 2010 and present, extracorporeal membrane oxygenation support was initiated in 21 patients based on meeting the indication criteria (12 neonates, 9 children). According to the etiology and severity of the cardiorespiratory failure, veno-arterial (V-A) ECMO was indicated in 57% of the patients (83% of the neonates, 22% of the children) – the remaining patients were treated with veno-venous (v-V) ECMO.

Results:
The survival rate was 58% in the neonatal group and 77% among the children. This work contains a brief comparison with some results of other international studies. Due to sample size, no statistical evaluation was performed.

Conclusion:
The authors demonstrate on the published sample that provision of the discussed care is neededin the Czech Republic. Many parameters of the presented outcomes are – in spite of the small sample size – comparable with the outcomes of the international registry.

Keywords:
extracorporeal membrane oxygenation – respiratory failure – circulatory failure – neonate – paediatrics


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Labels
Anaesthesiology, Resuscitation and Inten Intensive Care Medicine
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