Extracorporeal membrane oxygenation cannulation trends for pediatric respiratory failure and central nervous system injury

Rollins, Michael D.; Hubbard, Ania; Zabrocki, Luke; Barnhart, Douglas C.; Bratton, Susan L.

doi:10.1016/j.jpedsurg.2011.10.017

Cited by 104 publications

(75 citation statements)

References 11 publications

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“…Ces accidents vasculaires céré-braux peuvent être ischémique (4 %) ou hémorragique (6 %) [42]. L'ECMO VA est associée à plus de complications neurologiques cérébrales que l'ECMO VV [47,48]. Dans ce contexte, une surveillance de l'anticoagulation à l'aide du thrombo-élastogramme et du dosage de l'anti-Xa est souhaitable.…”

Section: Particularités Pédiatriquesunclassified

Assistance extracorporelle au cours du syndrome de détresse respiratoire aiguë (chez l’adulte et l’enfant, à l’exclusion du nouveau-né). Conférence de consensus organisée par la Société de réanimation de langue française

Richard

Argaud

Blet³

et al. 2014

Revue des Maladies Respiratoires

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Section: Particularités Pédiatriquesunclassified

Assistance extracorporelle au cours du syndrome de détresse respiratoire aiguë (chez l’adulte et l’enfant, à l’exclusion du nouveau-né). Conférence de consensus organisée par la Société de réanimation de langue française

Richard

Argaud

Blet³

et al. 2014

Revue des Maladies Respiratoires

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“…During this procedure deoxygenated blood is removed from the right internal jugular vein and oxygenated blood is returned through a cannula placed in the right carotid artery. Veno-venous (VV) ECMO is a technique that has now gained more acceptancealso in our institution -for use in patients with an isolated pulmonary disease without the need for cardiac support (33). Using this technique, the carotid artery need not be sacrificed and the normal pulsatility to the systemic flow is maintained.…”

Section: Discussionmentioning

confidence: 99%

“…Using this technique, the carotid artery need not be sacrificed and the normal pulsatility to the systemic flow is maintained. The risk for central nervous system complications (bleeding, microthrombi or infarct) seems to be less in VV-ECMO than in VA-ECMO (33 (35,36). It seems, therefore, to be important to detect HL at an early stage and provide early intervention.…”

Section: Discussionmentioning

confidence: 99%

Sensorineural Hearing Loss and Language Development Following Neonatal Extracorporeal Membrane Oxygenation

Hondel

Madderom

Goedegebure

et al. 2013

Pediatric Critical Care Medicine

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OBJECTIVE:To determine the prevalence of hearing loss in school-age children who have undergone neonatal extracorporeal membrane oxygenation (ECMO) treatment and to identify any effects of hearing loss on speech-and language development. DESIGN:Prospective longitudinal follow-up study within the framework of a structured post-ECMO follow-up program.SETTING: Outpatient clinic of a level III university hospital. RESULTS:Tone audiometry was performed by standardized protocol in 136 children aged 5 to 12 years. Hearing loss was considered clinically significant when >20dB. Hearing was normal in 75.7% of children. Five children (3.7%) had bilateral sensorineural or combined hearing loss; 3 of them received special audiological care (2.2% of total sample). Of the 24 children with congenital diaphragmatic hernia, 19 (79.2%) had normal hearing; and only 2 (8.3%) had mild SNHL, unilateral in one of them.Follow-up at 24 months of age had shown normal verbal and non-verbal developmental scores.Language development and intelligence median (range) scores at 5 years of age were also normal: receptive language development 104 (55-133); syntactical development 104 (68-132); and lexical development 101 (50-141) for 89 children; intelligence quotient was 104 (68-132) in 106 children.Scores did not differ between those with normal hearing, and those with mild hearing loss, or those with moderate to severe hearing loss (p=0. 800, p=0.639, p=0.876, and p=0.886, for the respective developmental tests). CONCLUSIONS:We found normal language development and intelligence in a cohort of neonatal ECMO survivors. The prevalence of bilateral sensorineural hearing loss was in accordance with that of larger series in the United States -which exceeds the prevalence in the normal population.3

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“…The neurological status was a cause of concern especially in the backdrop of a hypoxic brain damage after cardiac arrest. The multiple punctate hemorrhages are typical of ECMO related CNS injury [6,7]. There are several trials reporting the incidence of nosocomial infection as high as 64% while on ECMO support [8], but fortunately we had sent every alternate day blood cultures, which were sterile.…”

Section: Citationmentioning

confidence: 99%

VA-ECMO in Landouzy Sepsis or Tubercular Septic Shock

2017

JACCOA

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Landouzy-Sepsis (Sepsis tuberculosa acutissima) is a rare presentation of disseminated tuberculosis as shock and multi-organ failure. The condition if not treated promptly causes rapid death in an immunocompromised patient. We report one such case with refractory shock, ARDS, renal failure and liver dysfunction treated with peri-arrest VA-ECMO at our centre. The use of VA-ECMO have been explained in several scenarios for maintaining oxygenation and perfusion in cases of irreversible cardio-respiratory failure. In a developing country like ours, cost of initiating ECMO support has to be contemplated. We were successful in convincing the family to consent for the procedure and we initiated VA-ECMO on this patient after proper counseling of the family regarding possible outcome.

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Extracorporeal membrane oxygenation cannulation trends for pediatric respiratory failure and central nervous system injury

Cited by 104 publications

References 11 publications

Assistance extracorporelle au cours du syndrome de détresse respiratoire aiguë (chez l’adulte et l’enfant, à l’exclusion du nouveau-né). Conférence de consensus organisée par la Société de réanimation de langue française

Assistance extracorporelle au cours du syndrome de détresse respiratoire aiguë (chez l’adulte et l’enfant, à l’exclusion du nouveau-né). Conférence de consensus organisée par la Société de réanimation de langue française

Sensorineural Hearing Loss and Language Development Following Neonatal Extracorporeal Membrane Oxygenation

VA-ECMO in Landouzy Sepsis or Tubercular Septic Shock

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