+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Use of centrifugal pump and extracorporeal membrane oxygenation as cardiopulmonary support in pediatric cardiovascular surgery



Use of centrifugal pump and extracorporeal membrane oxygenation as cardiopulmonary support in pediatric cardiovascular surgery



Arquivos Brasileiros de Cardiologia 90(4): 216-220



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.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 056795438

Download citation: RISBibTeXText

PMID: 18516379


Related references

Circulatory support and extracorporeal membrane oxygenation ecmo using centrifugal pump and percutaneous cannula. Japanese Journal of Artificial Organs 19(1): 205-208, 1990

Centrifugal pumps and hemolysis in pediatric extracorporeal membrane oxygenation (ECMO) patients: An analysis of Extracorporeal Life Support Organization (ELSO) registry data. Journal of Pediatric Surgery 52(6): 975-978, 2017

Mortality in pediatric patients receiving centrifugal-pump extracorporeal membrane oxygenation: time, hemolysis, or both. Critical Care Medicine 42(10): E679-E679, 2014

Hemolysis in pediatric patients receiving centrifugal-pump extracorporeal membrane oxygenation: prevalence, risk factors, and outcomes. Critical Care Medicine 42(5): 1213-1220, 2014

Clinical results of extracorporeal membrane oxygenation (ECMO) support for acute respiratory failure: a comparison of a centrifugal pump ECMO with a roller pump ECMO. Surgery Today 34(3): 209-213, 2004

Clinical equivalency of cardiopulmonary bypass and extracorporeal membrane oxygenation support for pediatric tracheal reconstruction. Pediatric Surgery International 32(11): 1029-1036, 2016

Outcomes of pediatric patients with abdominal sepsis requiring surgery and extracorporeal membrane oxygenation using the Extracorporeal Life Support Organization database. American Surgeon 81(3): 245-251, 2015

A single center's conversion from roller pump to centrifugal pump technology in extracorporeal membrane oxygenation. Perfusion (): -, 2016

Extracorporeal membrane oxygenation using a centrifugal pump. Annals of Thoracic Surgery 64(5): 1528-1528, 1997

Functional Status Change Among Children With Extracorporeal Membrane Oxygenation to Support Cardiopulmonary Resuscitation in a Pediatric Cardiac ICU: A Single Institution Report. Pediatric Critical Care Medicine, 2018

Impact of extracorporeal membrane oxygenation support on clinical outcome of pediatric patients with acute cardiopulmonary failure: a single-center experience. Biomedical Journal 36(1): 28-34, 2013

Perioperative extracorporeal membrane oxygenation support for critical pediatric airway surgery. European Journal of Pediatrics 166(11): 1129-1133, 2007

Duration of extracorporeal membrane oxygenation support and survival in cardiovascular surgery patients. Journal of Thoracic and Cardiovascular Surgery, 2018

Centrifugal pump circuits for neonatal extracorporeal membrane oxygenation. Pediatric Critical Care Medicine 13(4): 492-493, 2012

Extracorporeal membrane oxygenation: support for overwhelming pulmonary failure in the pediatric population. Collective experience from the extracorporeal life support organization. Journal of Pediatric Surgery 28(4): 523-8; Discussion 528-9, 1993