Flexible Bronchoscopy in Pediatric Venovenous Extracorporeal Membrane Oxygenation

Autor:	Elizabeth A, Rosner, Jessica, L Parker, Caryn, Vandenberg, Brian C, Bridges, Todd J, Kilbaugh, Melania M, Bembea, Ranjit S, Chima, Renee M, Potera, Hitesh S, Sandhu, Ryan P, Barbaro, Keiko M, Tarquinio, Ira M, Cheifetz, Matthew L, Friedman
Rok vydání:	2022
Předmět:	Pulmonary and Respiratory Medicine Respiratory Distress Syndrome Extracorporeal Membrane Oxygenation Ventilators Mechanical Adolescent Bronchoscopy Humans General Medicine Child Critical Care and Intensive Care Medicine Retrospective Studies
Zdroj:	Respiratory Care. 67:688-693
ISSN:	1943-3654 0020-1324
DOI:	10.4187/respcare.09243
Popis:	Pediatric patients with ARDS will on occasion need venovenous extracorporeal membrane oxygenation (VV-ECMO) for organ support. As these patients recover, they may benefit from lung recruitment maneuvers including flexible bronchoscopy (FB). The objective of this study was to assess the clinical course of patients who underwent FB while on VV-ECMO for ARDS.This was a secondary analysis of a retrospective multi-center cohort at 10 United States pediatric academic quaternary care centers. Data were collected on 204 subjects age 14 d-18 y on VV-ECMO.271 FBs were performed on 129 (63%) subjects. Pre-FB tidal volume was 1.8 mL/kg compared to 2.22 mL/kg following FB (FB can be performed on patients while anticoagulated on VV-ECMO with a low incidence of complications. FB may be beneficial especially when performed early in the course of VV-ECMO.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::52a20b283fa87ca73ee76b4a0e946444 https://doi.org/10.4187/respcare.09243 Zobrazit plný text záznamu