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


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

Observational, retrospective with prospective data collection.

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.

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.

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.

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


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Anaesthesiology, Resuscitation and Inten Intensive Care Medicine
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