Extracorporeal membrane oxygenation for respiratory and cardiac failure in infants and children
| Autor: | Robert M. Arensman, Ernest D. Graves, Kenneth W. Falterman, Clyde R. Redmond, John L. Ochsner |
|---|---|
| Rok vydání: | 1987 |
| Předmět: |
Pulmonary and Respiratory Medicine
Aortic arch medicine.medical_specialty Heart disease business.industry medicine.medical_treatment Congenital diaphragmatic hernia medicine.disease Surgery Ventricular failure Right Common Carotid Artery medicine.artery Anesthesia medicine Extracorporeal membrane oxygenation Respiratory system Cardiology and Cardiovascular Medicine business Right internal jugular vein |
| Zdroj: | The Journal of Thoracic and Cardiovascular Surgery. 93:199-204 |
| ISSN: | 0022-5223 |
| DOI: | 10.1016/s0022-5223(19)36441-4 |
| Popis: | Fifty-three neonates and seven pediatric patients were treated with extracorporeal membrane oxygenation from September 1983 until April 1986. Venoarterial bypass was achieved by cannulating the right atrium via the right internal jugular vein and the aortic arch via the right common carotid artery. In the neonatal group, 40 infants with acute respiratory failure were treated, and 36 (90 %) survived. Five infants with congenital heart disease were treated and three (60%) survived. Among the eight patients with congenital diaphragmatic hernia, there were three (38%) survivors. In the pediatric group, four patients were treated for ventricular failure after cardiac operations. Two were weaned from bypass, with one long-term survivor. Three patients with acute respiratory failure were treated, with one survivor. Extracorporeal membrane oxygenation has proved to be a useful modality in salvaging high-risk neonates with minimal morbidity and mortality. It has also been useful in the support of infants with congenital heart disease and congenital diaphragmatic hernia. In pediatric patients one cannot expect to get results that are comparable to those found in neonates. Still, this modality can be useful in salvaging some moribund patients with pulmonary or cardiac failure, or both. |
| Databáze: | OpenAIRE |
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