[Results of extracorporeal membrane oxygenation in 100 newborns with cardiorespiratory insufficiency]

Autor:	A F, van Heijst, F H, van der Staak, W B, Geven, H, Wilbers, M, van de Bor, C, Festen
Jazyk:	Dutch; Flemish
Rok vydání:	1999
Předmět:	Hernia Diaphragmatic Male Respiratory Distress Syndrome Newborn Infant Newborn Persistent Fetal Circulation Syndrome Meconium Aspiration Syndrome Survival Rate Extracorporeal Membrane Oxygenation Treatment Outcome Cause of Death Sepsis Humans Female Hernias Diaphragmatic Congenital
Zdroj:	Nederlands tijdschrift voor geneeskunde. 143(7)
ISSN:	0028-2162 1989-1997
Popis:	To describe the results of treatment with extracorporeal membrane oxygenation (ECMO) in newborns with severe cardiorespiratory insufficiency.Prospective, descriptive.For all 100 newborns treated with ECMO in 1989-1997 in the Academic Hospital Nijmegen, department of Neonatology, the Netherlands, indications for treatment, complications during treatment and mortality within 6 weeks after cessation of ECMO were registered.The 100 children comprised 66 boys and 34 girls, with a mean age of 2 days (range: 1-15). Indications for ECMO treatment were: meconium aspiration syndrome: 39 with 37 survivors (95%), congenital diaphragmatic hernia: 31 with 23 survivors (74%), sepsis or pneumonia: 20 with 14 survivors (70%) and 'others' among which persistent pulmonary hypertension of the newborn: 10 with 8 survivors (80%). Eighteen children died (18%). Causes of death were rebound pulmonary hypertension (9 times), intracranial haemorrhage (4), multi-organ failure (3) and pulmonary problems (2). The most important complications during treatment were bleeding problems (29), clotting problems (20) and infections (11).
Databáze:	OpenAIRE
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