Optimizing Outcomes in Extracorporeal Membrane Oxygenation Postcardiotomy in Pediatric Population

Author:

Salha Ahmad1ORCID,Chowdhury Tasnim1,Singh Saloni2,Luyt Jessica3,Harky Amer45

Affiliation:

1. Department of Medicine, St George's Hospital Medical School, London, United Kingdom

2. School of Medicine, University of Central Lancashire, Preston, United Kingdom

3. Department of Paediatric Intensive care, Alder Hey Children's Hospital, Liverpool, United Kingdom

4. Department of Cardiac Surgery, Alder Hey Children Hospital, Liverpool, United Kingdom

5. Department of Cardiothoracic Surgery, Liverpool Heart and Chest Hospital, Liverpool, United Kingdom

Abstract

AbstractExtracorporeal membrane oxygenation (ECMO) is a rapidly emerging advanced life support technique used in cardiorespiratory failure refractory to other treatments. There has been an influx in the number of studies relating to ECMO in recent years, as the technique becomes more popular. However, there are still significant gaps in the literature including complications and their impacts and methods to predict their development. This review evaluates the available literature on the complications of ECMO postcardiotomy in the pediatric population. Areas explored include renal, cardiovascular, hematological, infection, neurological, and hepatic complications. Incidence, risk factors and potential predictors, and scoring systems for the development of these complications have been evaluated.

Publisher

Georg Thieme Verlag KG

Subject

Critical Care and Intensive Care Medicine,Pediatrics, Perinatology and Child Health

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