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J Pediatr Intensive Care 2023; 12(04): 245-255
DOI: 10.1055/s-0041-1731682
Review Article

Optimizing Outcomes in Extracorporeal Membrane Oxygenation Postcardiotomy in Pediatric Population

Ahmad Salha 
1   Department of Medicine, St George's Hospital Medical School, London, United Kingdom
,
Tasnim Chowdhury
1   Department of Medicine, St George's Hospital Medical School, London, United Kingdom
,
Saloni Singh
2   School of Medicine, University of Central Lancashire, Preston, United Kingdom
,
Jessica Luyt
3   Department of Paediatric Intensive Care, Alder Hey Children's Hospital, Liverpool, United Kingdom
,
Amer Harky
4   Department of Cardiac Surgery, Alder Hey Children Hospital, Liverpool, United Kingdom
5   Department of Cardiothoracic Surgery, Liverpool Heart and Chest Hospital, Liverpool, United Kingdom
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Abstract

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.

Keywords

extracorporeal membrane oxygenation - complications - outcomes - intervention


Publication History

Received: 16 March 2021

Accepted: 29 May 2021

Article published online:
03 July 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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