3.8 Review

Optimizing Outcomes in Extracorporeal Membrane Oxygenation Postcardiotomy in Pediatric Population

Journal

JOURNAL OF PEDIATRIC INTENSIVE CARE
Volume 12, Issue 4, Pages 245-255

Publisher

GEORG THIEME VERLAG KG
DOI: 10.1055/s-0041-1731682

Keywords

extracorporeal membrane oxygenation; complications; outcomes; intervention

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This article evaluates and summarizes the complications of ECMO postcardiotomy in the pediatric population, including renal, cardiovascular, hematological, infection, neurological, and hepatic complications. The incidence, risk factors, potential predictors, and scoring systems for the development of these complications have been explored.
Extracorporeal membrane oxygenation (ECMO) is a rapidly emerging advanced life support technique used in cardiorespiratory failure refractory to other treatments. There has been an influx in the number of studies relating to ECMO in recent years, as the technique becomes more popular. However, there are still significant gaps in the literature including complications and their impacts and methods to predict their development. This review evaluates the available literature on the complications of ECMO postcardiotomy in the pediatric population. Areas explored include renal, cardiovascular, hematological, infection, neurological, and hepatic complications. Incidence, risk factors and potential predictors, and scoring systems for the development of these complications have been evaluated.

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