The Role of Extracorporeal Cardiopulmonary Resuscitation in Pediatric Intraoperative Cardiac Arrest.

Autor: Salgueirinho C; Department of Anesthesiology, São João University Hospital Center, Porto, PRT., Correia A; Department of Anesthesiology, São João University Hospital Center, Porto, PRT., Graça I; Department of Anesthesiology, São João University Hospital Center, Porto, PRT., Oliveira R; Department of Anesthesiology, São João University Hospital Center, Porto, PRT., Dias J; Department of Anesthesiology, São João University Hospital Center, Porto, PRT.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2024 May 09; Vol. 16 (5), pp. e59940. Date of Electronic Publication: 2024 May 09 (Print Publication: 2024).
DOI: 10.7759/cureus.59940
Abstrakt: Refractory pediatric intraoperative cardiac arrest is a rare but challenging situation for the anesthesiologist. This case describes an intraoperative extracorporeal cardiopulmonary resuscitation (ECPR) in a 16-year-old male who suffered a sudden cardiac arrest during elective thoracolumbar stabilization. The patient recovered to his pre-operative baseline without any neurological sequela secondary to cardiac arrest. Good quality of conventional resuscitation measures, prompt activation of the extracorporeal membrane oxygenation (ECMO) team, and a multidisciplinary coordinated approach were key factors in ECPR success. Despite the lack of robust evidence in pediatrics, case reports like ours outline the life-saving potential of intraoperative ECPR in refractory cardiac arrest scenarios.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2024, Salgueirinho et al.)
Databáze: MEDLINE