Interhospital Aircraft/Ground Extracorporeal Membrane Oxygenation Transportation by a Mobile Extracorporeal Membrane Oxygenation Team: First Turkish Pediatric Case Series

Kendirli, Tanıl; Kahveci, Fevzi; Özcan, Kazım Serhan; Saricaoglu, Cahit; Hasde, Ali Ihsan; Çakıcı, Mehmet Çağlar; Uçar, Tayfun; Eyileten, Zeynep; Tutar, Ercan; Akar, Ahmet

doi:10.5152/turkarchpediatr.2022.22068

Cited by 2 publications

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“…In their study, PARDS affected 3% of 145 patients in the pediatric intensive care unit (PICU), with a mortality rate of 30% due to hypoxia and 30% due to neurological damage. 2 López-Fernández et al 6 reported the incidence of PARDS as 9.5/10 000 case years. In PARDS, when oxygenation is severely impaired or the patient is predicted to deteriorate rapidly, support with ECMO within 14 days of disease onset should be considered.…”

Section: Introductionmentioning

confidence: 99%

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Venovenous Versus Venoarterial Extracorporeal Membrane Oxygenation: Pediatric Acute Respiratory Distress Syndrome

Kahveci,

Karacoban,

Celik

et al. 2023

Turkish Archives of Pediatrics

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Objective: This study aimed to compare the efficacy, complication, and mortality of patients who were supported by venovenous (VV) extracorporeal membrane oxygenation (ECMO) and venoarterial (VA) ECMO for pediatric acute respiratory distress syndrome (PARDS). Materials and Methods: This study is a single-center, retrospective cohort study between 2014 and 2022. We evaluated to indication of ECMO support, ECMO type, patients’ demographic features, complications, and children’s outcomes supported by ECMO for PARDS. Results: Twenty-two patients with PARDS, 12 (54%) with VV, and 10 (46%) with VA ECMO were selected. The median number of days to be intubated before ECMO cannulation was 5 (0-16) days. The distribution of intubated days before the patients underwent ECMO was as follows: 0-1 days, 7 (31.8%) patients; 2-3 days, 2 (9.1%) patients; 4-7 days, 7 (31.8%) patients; 8-14 days, 5 (22.8%) patients; >14 days, 1 (4.5%) patient. The median ECMO cannulation day after admission to the pediatric intensive care unit was 3 (range, 1-9) days in the VV ECMO patient group, whereas it was 8 (range, 0-19) days in the VA ECMO group ( P = .02). Considering hospital survival, 4 (45%) patients who underwent double-lumen VV ECMO, 1 (33%) patient who underwent VV ECMO, and 3 (30%) patients who supported by VAECMO survived. There was no difference between the groups in terms of hospital discharge rates. Conclusion: The highest survival rate was found in the VV ECMO patient group established with double-lumen cannulas, similar to the literature. There was no difference in mortality between the groups whose intubation time before ECMO was 14 days or less.

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Section: Introductionmentioning

confidence: 99%

“…VV ECMO is preferred in cases of respiratory failure, while VA ECMO may be preferred according to the existing cardiac failure. 1 , 2 The main indication for VV ECMO in children is pediatric acute respiratory distress syndrome (PARDS). Also, respiratory ECMO support can be delivered by venopulmonary (VP) cannulation.…”

Section: Introductionmentioning

confidence: 99%