scholarly journals Extracorporeal membrane oxygenation following pediatric cardiac surgery: development and outcomes from a single-center experience

Perfusion ◽  
2012 ◽  
Vol 27 (3) ◽  
pp. 225-229 ◽  
Author(s):  
H Itoh ◽  
S Ichiba ◽  
Y Ujike ◽  
S Kasahara ◽  
S Arai ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Extracorporeal Membrane Oxygenation ◽  
Pediatric Cardiac Surgery ◽  
Single Center ◽  
Membrane Oxygenation ◽  
Single Center Experience

Air Transported Pediatric Rescue Extracorporeal Membrane Oxygenation: A Single Institutional Review

2012 ◽  
Vol 3 (2) ◽  
pp. 236-240 ◽  
Author(s):  
David Horne ◽  
John J. Lee ◽  
Mike Maas ◽  
Abhay Divekar ◽  
Murray Kesselman ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Extracorporeal Membrane Oxygenation ◽  
Discharge Rate ◽  
Survival Rates ◽  
Pediatric Intensive Care ◽  
High Volume ◽  
Pediatric Cardiac Surgery ◽  
Team Approach ◽  
Membrane Oxygenation ◽  
Single Center Experience

Background: Pediatric extracorporeal membrane oxygenation (ECMO) programs are sophisticated endeavors usually found only in high-volume cardiac surgical programs. Worldwide, many cardiology programs do not have on-site pediatric cardiac surgery expertise. Our single-center experience shows that an organized multidisciplinary rescue-ECMO program, in collaboration with an accepting facility, can achieve survival rates comparable to modern era on-site ECMO. Methods: A retrospective review was conducted of all patients initiated on rescue-ECMO from 2004 to 2009 in a single academic pediatric hospital without a pediatric cardiac surgery program. All aspects of ECMO were formalized using Failure Mode Effects Analysis. Results: Eight patients were initially cannulated for ECMO at our institution. Six were subsequently transported by air to the receiving facility 1,305 km away. Extracorporeal membrane oxygenation was initiated in 0.2% of our Pediatric Intensive Care Unit admissions and in 0.52% of all our pediatric cardiac patients. Mean age was 4.0 years (7 weeks to 15 years). Indications for ECMO initiations were cardiogenic shock (n = 5) and acute respiratory distress syndrome (n = 3). Six had veno-arterial- and two had veno-veno ECMO. Two patients were not transported (one death and one weaned locally). Six patients were successfully transported within 2 to 24 hours, with a survival to hospital discharge rate of 67% (four of six). Median total time on ECMO was 5.5 days. Complication rate was 50% (4/8). Conclusions: Our rescue-ECMO survival results were comparable to that of current published results from established pediatric ECMO programs. Air transport of ECMO patients can be performed safely using an organized multidisciplinary team approach.

scholarly journals Neonatal Extracorporeal Membrane Oxygenation Due to Respiratory Failure: A Single Center Experience Over 28 Years

2018 ◽  
Vol 6 ◽  
Author(s):  
Friedrich Reiterer ◽  
Elisabeth Resch ◽  
Michaela Haim ◽  
Ute Maurer-Fellbaum ◽  
Michael Riccabona ◽  
...  
Keyword(s):  
Respiratory Failure ◽  
Extracorporeal Membrane Oxygenation ◽  
Single Center ◽  
Membrane Oxygenation ◽  
Single Center Experience

Mobile extracorporeal membrane oxygenation for children: single-center 10 years’ experience

Perfusion ◽  
2019 ◽  
Vol 34 (5) ◽  
pp. 384-391 ◽  
Author(s):  
Virginie Fouilloux ◽  
Célia Gran ◽  
Olivier Ghez ◽  
Caroline Chenu ◽  
Fedoua El Louali ◽  
...  
Keyword(s):  
Adverse Event ◽  
Cardiac Surgery ◽  
Extracorporeal Membrane Oxygenation ◽  
Gold Standard ◽  
Pediatric Patients ◽  
Air Transport ◽  
Single Center ◽  
Reference Center ◽  
Membrane Oxygenation ◽  
Experienced Team

Objectives: Extracorporeal membrane oxygenation has become a gold standard in treatment of severe refractory circulatory and/or pulmonary failure. Those procedures require gathering of competences and material. Therefore, they are conducted in a limited number of reference centers. Emergent need for such treatments induces either hazardous transfers or a mobile pediatric extracorporeal membrane oxygenation team able to remote implantation and transportation. The aim of this work is not to focus on pediatric extracorporeal membrane oxygenation outcomes or indications, which have been extensively discussed in the literature. This study would like to detail the implementation, safety, and feasibility, even in a middle-size pediatric cardiac surgery reference center. Patients: This is a retrospective analysis of a series of patients initiated on extracorporeal membrane oxygenation in a peripheral center and transferred to a reference center. The data were collected from 10 consecutive years: from 2006 to 2016. Results: A total of 57 pediatric patients with a median weight of 6.00 (3.2-14.5) kg and median age of 2.89 (0.11-37.63) months were cannulated in peripheral center and transported on extracorporeal membrane oxygenation. We did not experience any adverse event during transport. The outcomes were comparable to our literature-reported on-site extracorporeal membrane oxygenation series with 42 patients (74%) weaned from extracorporeal membrane oxygenation and a 30-day survival of 60%. Neither patient’s age nor weight, indication for extracorporeal membrane oxygenation or length of transport, was statistically significant in terms of outcomes. Conclusion: Offsite extracorporeal membrane oxygenation implantation and ground or air transport for pediatric patients on extracorporeal membrane oxygenation appeared to be safe when performed by a dedicated and experienced team, even within a mid-size center.

Metrics to Assess Extracorporeal Membrane Oxygenation Utilization in Pediatric Cardiac Surgery Programs*

2017 ◽  
Vol 18 (8) ◽  
pp. 779-786 ◽  
Author(s):  
Susan L. Bratton ◽  
Titus Chan ◽  
Cindy S. Barrett ◽  
Jacob Wilkes ◽  
Laura M. Ibsen ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Extracorporeal Membrane Oxygenation ◽  
Pediatric Cardiac Surgery ◽  
Membrane Oxygenation
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