P0605 / #959: USE OF EXTRACORPOREAL MEMBRANE OXYGENATION SUPPORT DURING STAPHYLOCOCCUS AUREUS REFRACTORY SEPTIC SHOCK: A CASE REPORT FOR MECHANICAL SUPPORT

Separately, refractory septic shock and purpura fulminans have very poor outcomes. The ethics involved in offering extracorporeal membrane oxygenation to very high-risk patients is complex. We report a novel case of refractory shock requiring veno-arterial extracorporeal membrane oxygenation and continuous renal replacement therapy due to Streptococcus pyogenes bacteremia with purpura fulminans to highlight the ethical challenges in offering extracorporeal membrane oxygenation to a patient with such a poor likelihood of survival.

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Successful venoarterial extracorporeal membrane oxygenation for postoperative septic shock in a child with liver transplantation: A case report

Pediatric Transplantation ◽

10.1111/petr.13063 ◽

2017 ◽

Vol 21 (8) ◽

pp. e13063 ◽

Cited By ~ 2

Author(s):

Michiko Abe ◽

Kentaro Ide ◽

Nao Nishimura ◽

Satoshi Nakagawa ◽

Akinari Fukuda ◽

...

Keyword(s):

Septic Shock ◽

Liver Transplantation ◽

Case Report ◽

Extracorporeal Membrane Oxygenation ◽

Membrane Oxygenation ◽

Venoarterial Extracorporeal Membrane Oxygenation

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P0220 / #481: SURVIVING STAPHYLOCOCCUS AUREUS REFRACTORY SEPTIC SHOCK IN VA-ECMO: CASE REPORT

Pediatric Critical Care Medicine ◽

10.1097/01.pcc.0000739224.67830.34 ◽

2021 ◽

Vol 22 (Supplement 1 3S) ◽

pp. 132-133

Author(s):

C.D. Hernandez Rosales ◽

A. Rodriguez Sanchez ◽

J. Rodriguez Coronado ◽

R. Gomez Gutierrez ◽

B. Cardenas Del Castillo

Keyword(s):

Staphylococcus Aureus ◽

Septic Shock ◽

Case Report ◽

Refractory Septic Shock ◽

Va Ecmo

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Extracorporeal Membrane Oxygenation for Refractory Septic Shock in Children

PEDIATRICS ◽

10.1542/peds.93.5.726 ◽

1994 ◽

Vol 93 (5) ◽

pp. 726-729

Author(s):

John Beca ◽

Warwick Butt

Keyword(s):

Intensive Care Unit ◽

Septic Shock ◽

Extracorporeal Membrane Oxygenation ◽

Demographic Data ◽

Pediatric Intensive Care ◽

Organ System ◽

Severe Respiratory Failure ◽

Prism Score ◽

Membrane Oxygenation ◽

Refractory Septic Shock

Objective. To review demographic data and outcome of children who received extracorporeal membrane oxygenation (ECMO) for refractory septic shock. Method. Review of medical charts of nine children receiving ECMO for culture-proven refractory septic shock treated in a multidisciplinary pediatric intensive care unit. Results. Median age was 12 years and median weight was 45 kg. Median inotrope requirements (µg/kg per minute) before ECMO were dopamine, 15; dobutamine, 12.5; epinephrine, 4; and norepinephrine, 3.5. Four children received two inotropes concurrently, and five received three or more. All nine patients had severe respiratory failure; eight had evidence of other organ system dysfunction, with six having five or more organ system dysfunctions. Median PRISM score was 27. Median duration of ECMO was 137 hours. Within 24 hours of starting ECMO, 7 of 9 children had all inotropes stopped. Four patients died and five survived, all of whom are leading normal lives. Conclusion. In this small group of children with probably fatal septic shock, ECMO was successfully supported the circulation and 5 of the 9 children survived. We suggest that septic shock should not be considered a contra-indication to ECMO.

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