Results of pediatric mechanical assist for postcardiotomy ventricular failure and cardiac arrest

Sarıoğlu, Cafer; Yalçınbaş, Yusuf Kenan; Erek, Ersin; Arnaz, Ahmet; Türkekul, Yasemin; Narin, Bilge; Ulukol, Ayşe; Saygılı, Arda; Boz, Murat; Telli, Zekeriya; Sarıoğlu, Ayşe

doi:10.5606/tgkdc.dergisi.2014.7997

Cited by 5 publications

(5 citation statements)

References 13 publications

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“…Only a few centers in Turkey have this facility (6). In this study, we reviewed our 5 years’ experience of performing ECPR, according to the protocol developed for this study.…”

Section: Introductionmentioning

confidence: 99%

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Extracorporeal cardiopulmonary resuscitation for refractory cardiac arrest in children after cardiac surgery

et al. 2016

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Objective:Extracorporeal membrane oxygenation (ECMO) is used to provide cardiorespiratory support during cardiopulmonary resuscitation (extracorporeal cardiopulmonary resuscitation; ECPR) unresponsive to conventional methods. In this study, the results of ECPR in a cardiac arrest setting after cardiac surgery in children were analyzed.Methods:In this retrospective cohort study, between November 2010 and June 2014, 613 congenital heart operations were performed by the same surgical team. Medical records of all the patients who experienced cardiac arrest and ECPR in an early postoperative period (n=25; 4%) were analyzed. Their ages were between 2 days and 4.5 years (median: 3 months). Sixteen patients had palliative procedures. In 88% of the patients, cardiac arrest episodes occurred in the first 24 h after operation. Mechanical support was provided by cardiopulmonary bypass only (n=10) or by ECMO (n=15) during CPR.Results:The CPR duration until commencing mechanical support was <20 min in two patients, 20–40 min in 11 patients, and >40 min in 12 patients. Eleven patients (44%) were weaned successfully from ECMO and survived more than 7 days. Five of them (20%) could be discharged. The CPR duration before ECMO (p=0.01) and biventricular physiology (p=0.022) was the key factor affecting survival. The follow-up duration was a mean of 15±11.9 months. While four patients were observed to have normal neuromotor development, one patient died of cerebral bleeding 6 months after discharge.Conclusion:Postoperative cardiac arrest usually occurs in the first 24 h after operation. ECPR provides a second chance for survival in children who have had cardiac arrest. Shortening the duration of CPR before ECMO might increase survival rates. (Anatol J Cardiol 2017; 17: 328-33)

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“…Only a few centers in Turkey have this facility (6). In this study, we reviewed our 5 years’ experience of performing ECPR, according to the protocol developed for this study.…”

Section: Introductionmentioning

confidence: 99%

“…However, ECPR techniques are difficult to perform and require significant resources and an experienced team. Only a few centers in Turkey have this facility ( 6 ). In this study, we reviewed our 5 years’ experience of performing ECPR, according to the protocol developed for this study.…”

Section: Introductionmentioning

confidence: 99%

Extracorporeal cardiopulmonary resuscitation for refractory cardiac arrest in children after cardiac surgery

et al. 2016

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“…About 53 patients (1.45%) underwent ECLS; 16 of them (31.4%) were successfully discharged. They published their results in 2014 . They prefer central cannulation using DLP cannula.…”

Section: Second Panel: Ecls Applicationsmentioning

confidence: 99%

Outcomes of the 10th Istanbul Symposium on pediatric extracorporeal life support systems and cardiopulmonary perfusion

et al. 2019

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“…Bu komplikasyonların önlenmesinde hemşirelerin bilgi düzeylerinin arttırılması önemli rol oynayacaktır. [40,41] ECMO desteği uygulanan hasta takibi yapan tüm hemşirelerin ECMO sertifikası sahip olmaları önem arz etmektedir.…”

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Nursing Care of Pediatric Cardiac Surgery Patients With Extracorporeal Membrane Oxygenation Support

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2016

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Pediyatrik kalp cerrahisi sonrası kardiyopulmoner yetersizliği olan hastalarda; optimal geleneksel tedavi yöntemlerinin yetersiz kaldığı durumlarda, geçici kalp ve akciğer destek cihazlarının kullanımında giderek artış gözlenmektedir. Geçici kardiyopulmoner destek sağlayan cihazlardan biri de ekstrakorporeal membran oksijenasyonu cihazıdır. Ekstrakorporeal membran oksijenasyonu desteğindeki pediatrik hastada ileri düzeyde hemşirelik bakımı mortalite ve morbidite oranını düşürülmesinde önemli katkı sağlamaktadır. Kardiyovasküler cerrahi yoğun bakım ünitesinde hemşireler ekstrakorporeal membran oksijenasyonu uygulanan hastanın bakımı konusunda özel eğitim almalıdır. Bu yazıda, pediyatrik kalp cerrahisi sonrası ekstrakorporeal membran oksijenasyonu desteği gereken hastalarda hemşirelik bakımı anlatılmaktadır.

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Results of pediatric mechanical assist for postcardiotomy ventricular failure and cardiac arrest

Cited by 5 publications

References 13 publications

Extracorporeal cardiopulmonary resuscitation for refractory cardiac arrest in children after cardiac surgery

Extracorporeal cardiopulmonary resuscitation for refractory cardiac arrest in children after cardiac surgery

Outcomes of the 10th Istanbul Symposium on pediatric extracorporeal life support systems and cardiopulmonary perfusion

Nursing Care of Pediatric Cardiac Surgery Patients With Extracorporeal Membrane Oxygenation Support

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