7:30 AM - 8:20 AM
[III-TJS-02] Contemporary ECMO in Children
Extracorporeal life support (ECLS) is an important device in the management of children with severe refractory cardiac and or pulmonary failure. Although intra-aortic balloon pump is applicable for the adolescent and larger children, it rarely to be applied in infant or neonate. Two forms of ECLS are available for neonates and children: extracorporeal membrane oxygenation (ECMO) and ventricular assist device (VAD). Both these techniques have their own advantages and disadvantages.
Even though exciting progress is developed in VADs for long-term mechanical support in children, ECMO remains the mainstay of mechanical circulatory support with complex anatomy. ECMO is commonly used in a variety of settings to for critically ill patients with cardiac disease. When the decision is made, a strict selection of patients and timing of intervention should be performed, therefore it could avoid the increase in mortality and morbidity of these patients. However, ECMO usually is applied ”mergently” rather than “urgently”.
With the increase in familiarity with ECMO, new indications have been added, such as extracorporeal cardiopulmonary resuscitation (ECPR). The promising outcomes advocate more centers organizing the special team to keep the high-standard care. Reasonable survival rates have been achieved in recent publication.
Contraindications to ECLS have reduced in the last 5 years and many centers support patients with functionally univentricular circulations. Improved results have been recently achieved in this complex subset of patient.
Even though exciting progress is developed in VADs for long-term mechanical support in children, ECMO remains the mainstay of mechanical circulatory support with complex anatomy. ECMO is commonly used in a variety of settings to for critically ill patients with cardiac disease. When the decision is made, a strict selection of patients and timing of intervention should be performed, therefore it could avoid the increase in mortality and morbidity of these patients. However, ECMO usually is applied ”mergently” rather than “urgently”.
With the increase in familiarity with ECMO, new indications have been added, such as extracorporeal cardiopulmonary resuscitation (ECPR). The promising outcomes advocate more centers organizing the special team to keep the high-standard care. Reasonable survival rates have been achieved in recent publication.
Contraindications to ECLS have reduced in the last 5 years and many centers support patients with functionally univentricular circulations. Improved results have been recently achieved in this complex subset of patient.