Results of ECMO therapy in cohorts of neonates and children
Authors:
V. Vobruba 1; prof. 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
Sources
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Anaesthesiology, Resuscitation and Inten Intensive Care MedicineArticle was published in
Anaesthesiology and Intensive Care Medicine
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