JSPCCS-TSPC Joint Symposium Contemporary ECMO in Children (III-TJS)

[III-TJS-01] Contemporary ECMO in Japan (Shizuoka experience)

^○Masaki Osaki (Department of Cardiac Critical Care, Shizuoka, Japan)

Extracorporeal life support (ECLS) is an important device in the management of children with severe refractory cardiac and or respiratory failure. V-A ECMO is commonly used in a variety of settings to provide support for critically ill patients with cardiac disease, and the number of ECMO support after cardiac surgery has been increasing for the last 20 years. In Shizuoka Children’s Hospital, we have experienced more than 100 ECMO runs, and the recent data shows the successful weaning of ECMO is about 80% and hospital discharge is more than 60%. In my talk, I would like to share our cardiac ECMO experience and current issues, and to focus on ECMO support for the patients with single ventricle physiology. Another application of ECMO is an extracorporeal cardiopulmonary resuscitation(E-CPR). We introduce E-CPR protocol in 2007 and achieved survival rate more than 50%. Issues around E-CPR , neurological outcome, other organ failures will be discussed.