Venovenous Extracorporeal Membrane Oxygenation for Cyanotic Congenital Heart Disease

Imamura, Michiaki; Schmitz, Michael L.; Watkins, Bryan; Chipman, Carl W.; Faulkner, Sherry C.; Fiser, William P.; Devanter, Stephen H. Van; Drummond-Webb, Jonathan J.

doi:10.1016/j.athoracsur.2004.05.030

Cited by 13 publications

(12 citation statements)

References 9 publications

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“…Furthermore, we could not determine whether any of the children who died without a trial of VA ECLS would have benefited from such mode conversion. In a single-center study of 17 patients with underlying cyanotic heart disease who were placed on VV ECLS for acute hypoxemia, all survived (11). Limited data from the ELSO registry suggest that patients received ECLS for cardiac failure, but some patients had only respiratory failure as an indication for support.…”

Section: Discussionmentioning

confidence: 99%

“…In some populations, VV ECLS has been associated with fewer neurologic sequelae (10). Immamura et al (11) reported a single institutional experience of the use of VV ECLS in children with cyanotic congenital heart disease and hypoxemia. Of the 18 cases (one patient received two runs), eight runs supported children with viral pneumonia and ten runs supported children with restricted pulmonary blood flow.…”

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confidence: 99%

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A qualitative study of expert and team cognition on complex patients in the pediatric intensive care unit*

Custer

White

Fackler

et al. 2012

Pediatric Critical Care Medicine

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An inadequately developed or inadequately shared mental model is a substantial cognitive limitation for expert and team cognition in the complex environment of the pediatric intensive care unit. Providers utilize techniques that may avoid or decrease the variable interpretations of patient condition that would otherwise impair mental model formation and sharing. Future studies should be designed to enhance mental model formation and communication in the pediatric intensive care unit and other environments that deal with complex patients.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

A qualitative study of expert and team cognition on complex patients in the pediatric intensive care unit*

Custer

White

Fackler

et al. 2012

Pediatric Critical Care Medicine

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“…Hypoxemia induced by inadequate pulmonary oxygenation caused by cardiac compromise is a characteristic of children with congenital heart disease and an indication for ECMO. Although VA-ECMO support is popular in adults and children, VV-ECMO support is one of the options for children with single ventricle morphology (13). It is important that appropriate ECMO support and management for each case in children is based on etiology, anatomy, and surgical procedure.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Extracorporeal Membrane Oxygenation on Survival in Pediatric Patients With Respiratory and Heart Failure: Review of Our Experience

Goto

Suzuki

et al. 2011

Artificial Organs

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Extracorporeal membrane oxygenation (ECMO) is widely used for circulatory support in pediatric cardiac patients with low cardiac output and hypoxemia. We retrospectively evaluated the efficacy of ECMO support for respiratory and heart failure in infants and children. From April 2002 to February 2011, 14 patients aged 19 days to 20 years old (average 44 months), with body weight 2.6 kg to 71 kg (median 14.1 kg), underwent ECMO support for failing cardiac function, hypoxemia, and low cardiac output syndrome. In 12 patients, ECMO was introduced after operation for congenital heart disease (four with complete repair including Fontan circulation, and eight with palliative repair). In one patient, ECMO was introduced after partial pulmonary resection for congenital cystic adenomatoid malformation because of respiratory failure. ECMO was introduced in a patient with severe heart failure caused by fulminant myocarditis. Patients' demographics, duration of extracorporeal membrane oxygenation, additional support, and outcomes were analyzed. Ten patients (71%) were successfully weaned from ECMO, and eight patients (57%) were discharged from the hospital. The mean duration of ECMO support was 332 h (range 11-2030 h). Although management of the ECMO circuit, including anticoagulation (activated clotting time: 150-250), was conducted following the institutional practice guidelines, it was difficult to control the bleeding. Seven patients required renal replacement therapy during ECMO support using peritoneal dialysis or continuous hemodiafiltration. Five patients had additional operative procedures: systemic-pulmonary shunt in two, bidirectional Glenn takedown with right modified Blalock-Taussig shunt, total cavopulmonary connection takedown, and redo ECMO in one patient each. The patient who had the longest ECMO support for respiratory failure due to acute respiratory distress syndrome after lung surgery was successfully weaned from ECMO because high-frequency oscillation (HFO) improved respiratory function. ECMO for heart and respiratory failure in infants and children is effective and allows time for recovery of cardiac dysfunction and acute hypoxic insult. The long-term ECMO support for over 2000 h was very rare, but it was possible to wean this patient from ECMO using HFO.

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“…The ECMO in neonates with single-ventricle defects is applied due to low cardiac output, cardiac arrest, or ventricular dysfunction after surgical procedures [3,4]. We have described a rare situation in which ECMO support was applied due to pulmonary insufficiency of unclear cause, most likely a combination of high pulmonary vascular resistance and pneumonia.…”

Section: Discussionmentioning

confidence: 99%

Veno-venous ECMO for carbon dioxide removal in a neonate after Norwood operation with an RV-PA shunt

Mroczek¹,

Jarosz²,

Stycuła³

et al. 2013

kitp

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StreszczenieW pracy opisano przypadek noworodka z wrodzoną wadą serca o typie pojedynczej komory serca, u którego we wczesnym okresie po operacji sposobem Norwooda z zespoleniem prawa komora-tętnica płucna zastosowano z powodzeniem żyl-no-żylne pozaustrojowe wspomaganie układu oddechowego (extracorporeal membrane oxygenation -ECMO). Słowa kluczowe: ECMO żylno-żylne, operacja Norwooda. Kardiochirurgia i Torakochirurgia Polska 2013; 10 (2) 165Case reports AbstractWe describe a case of a newborn with a single-ventricle congenital heart defect, in which veno-venous extracorporeal membrane oxygenation (ECMO) was successfully employed shortly after a Norwood operation with right ventricle-to-pulmonary artery shunt due to pulmonary insufficiency.

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Venovenous Extracorporeal Membrane Oxygenation for Cyanotic Congenital Heart Disease

Cited by 13 publications

References 9 publications

A qualitative study of expert and team cognition on complex patients in the pediatric intensive care unit*

A qualitative study of expert and team cognition on complex patients in the pediatric intensive care unit*

The Impact of Extracorporeal Membrane Oxygenation on Survival in Pediatric Patients With Respiratory and Heart Failure: Review of Our Experience

Veno-venous ECMO for carbon dioxide removal in a neonate after Norwood operation with an RV-PA shunt

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