The Use of Extracorporeal Membrane Oxygenation in Life-Threatening Foreign Body Aspiration: Case Series, Review of Extracorporeal Life Support Organization Registry Data, and Systematic Literature Review
| Autor: | Pallav Bhattarai, Pilar Anton-Martin, Peter Rycus, Renee M Potera, Lakshmi Raman |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment 030204 cardiovascular system & hematology Extracorporeal 03 medical and health sciences 0302 clinical medicine Extracorporeal Membrane Oxygenation Bronchoscopy medicine Extracorporeal membrane oxygenation Humans Registries Intensive care medicine Foreign Bodies medicine.diagnostic_test business.industry Infant 030208 emergency & critical care medicine surgical procedures operative Systematic review Foreign body aspiration Life support Child Preschool Emergency Medicine Registry data business |
| Zdroj: | The Journal of emergency medicine. 56(5) |
| ISSN: | 0736-4679 |
| Popis: | Foreign body aspiration (FBA) is a common cause of morbidity and mortality in children3 years of age. Guidelines recommend performing a bronchoscopy in any suspected or confirmed FBA. Extracorporeal membrane oxygenation (ECMO) can be used as a rescue mode of support in children with life-threatening FBA for stabilization before, during, and after removal.We present a series of children with life-threatening FBA who were placed on ECMO for stabilization before or after FB removal and a review of the literature and the Extracorporeal Life Support Organization database. Foreign bodies were removed without complications, and all patients survived ECMO support and were promptly discharged home. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: ECMO can be safely used in the stabilization of children with life-threatening FBA before, during, and after bronchoscopic removal. ECMO should be considered in the stabilization of children presenting with FBA to facilitate removal. |
| Databáze: | OpenAIRE |
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