After the storm: Extracorporeal membrane oxygenation after hemicraniectomy in a child

Author:

Wang Wei1ORCID,Maciel Carolina B23,Blatt Jason2,Chang Philip M4,Peek Giles J5,Machado Desiree S16ORCID

Affiliation:

1. Department of Pediatrics, Division of Pediatric Critical Care, University of Florida, Gainesville, FL, USA

2. Department of Neurosurgery, Division of Pediatric Neurosurgery, University of Florida, Gainesville, FL, USA

3. Department of Neurology, Division of Neurocritical Care, University of Florida, Gainesville, FL, USA

4. Congenital Heart Center, Department of Pediatrics, Division of Pediatric Cardiology, University of Florida, Gainesville, FL, USA

5. Congenital Heart Center, Department of Cardiothoracic Surgery, University of Florida, Gainesville, FL, USA

6. Department of Pediatrics, Division of Cardiology and Pediatric Cardiac Critical Care, Jackson Memorial Hospital, University of Miami, Miami, FL, USA

Abstract

Ventricular arrhythmias following neurological injury have been attributed to sympathetic surge in subarachnoid hemorrhage and traumatic brain injury. Despite associated risks of bleeding and thrombosis, veno-arterial extracorporeal membrane oxygenation (ECMO) in critically ill, clinically unstable postoperative neurosurgical patients can be lifesaving. In the context of neurological injury and the neurosurgical population, the literature available regarding ECMO utilization is limited, especially in children. We report a case of successful ECMO utilization in a child with malignant ventricular tachycardia after decompressive craniectomy for refractory intracranial hypertension following evacuation of extensive subdural empyema.

Publisher

SAGE Publications

Subject

Advanced and Specialized Nursing,Cardiology and Cardiovascular Medicine,Safety Research,Radiology, Nuclear Medicine and imaging,General Medicine

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