Utilization of Extracorporeal Membrane Oxygenation In Pediatric Cardiac Surgery: A Single Center Experience, 34 Cases in 8 Years
| العنوان: | Utilization of Extracorporeal Membrane Oxygenation In Pediatric Cardiac Surgery: A Single Center Experience, 34 Cases in 8 Years |
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| المؤلفون: | Cenap Zeybek, Ozgur Yildirim, Arda Ozyuksel, Mustafa Kemal Avsar, Mehmet Salih Bilal |
| المساهمون: | Tıp Fakültesi |
| المصدر: | Iranian Journal of Pediatrics. 27 |
| بيانات النشر: | Briefland, 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | medicine.medical_specialty, Pediatric Heart Surgery, medicine.medical_treatment, 030204 cardiovascular system & hematology, Extracorporeal Life Support, Single Center, law.invention, Sepsis, 03 medical and health sciences, Extracorporeal Membrane Oxygenation, 0302 clinical medicine, law, Cardiopulmonary bypass, Extracorporeal membrane oxygenation, Medicine, Weaning, Survival rate, business.industry, Organ dysfunction, medicine.disease, Surgery, Cardiac surgery, surgical procedures, operative, 030228 respiratory system, Anesthesia, Pediatrics, Perinatology and Child Health, medicine.symptom, business |
| الوصف: | Background: Extracorporeal membrane oxygenation (ECMO) is used in a variety of indications worldwide. One of the most important subsets is postoperative congenital cardiac surgery cases unresponsive to conventional therapies. In this study, we present our ECMO experience in a single congenital cardiac surgery center. Methods: ECMO was used in a total of 34 postoperative congenital cardiac surgery cases, whose operations had been performed by the same congenital cardiac surgery team. Patients’ ages were between 3 days to 15 years. ECMO was used in four different indications; in case of unsuccessful weaning from cardiopulmonary bypass (OR-ECMO), in low cardiac output syndrome (LCOS-ECMO), in refractory post cardiac arrest (CPR-ECMO) and in respiratory insufficiency after RSV infection (RSV-ECMO). Results: The follow-up period of patients ranged from 1 to 80 months, whereas ECMO duration ranged from 23 to 2218 hours. Six cases were OR-ECMO, 13 were LCOS-ECMO, 12 were CPR-ECMO and 3 were RSV-ECMO. Out of a total of 34 cases, 20 (58%) cases were weaned from ECMO. Two of the patients, who were able to be weaned from ECMO passed away in the hospital; however, the other 18 patients (52.9%) were discharged from the hospital without having any significant neurological deficits. The top survival rate (69%) and weaning from ECMO was in the LCOS-ECMO group and the worst weaning from ECMO support (33%) was in the RSV-ECMO. The worst survival rate (25%) was in the CPR-ECMO group. Sepsis and associated multiple organ dysfunction were observed as the major cause of mortality in these patients. The most common complications were bleeding and mechanical complications related to cannulation. Conclusions: ECMO may be required in postoperative congenital cardiac surgery cases in whom all other conventional therapies have failed. Indications, timing and maintenance of equipment are very important points in successful ECMO management. Increasing ECMO experience in the near future, will provide much decrease in mortality of congenital cardiac surgery. |
| وصف الملف: | application/pdf |
| تدمد: | 2008-2150 2008-2142 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::650fc0a50d86b8f1dfe927e08d081f8d https://doi.org/10.5812/ijp.14402 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....650fc0a50d86b8f1dfe927e08d081f8d |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20082150 20082142 |
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