Izvorni znanstveni članak
https://doi.org/10.3325/cmj.2021.62.146
Rescue extracorporeal cardiopulmonary resuscitation in pediatric patients: a nineyear single-center experience in Zagreb, Croatia
Matija Bakoš
orcid.org/0000-0002-8316-2034
; Department of Pediatrics, University Hospital Center Zagreb, Zagreb, Croatia
Toni Matić
; Department of Pediatrics, University Hospital Center Zagreb, Zagreb, Croatia
Filip Rubić
; Department of Pediatrics, University Hospital Center Zagreb, Zagreb, Croatia
Slobodan Galić
; Department of Pediatrics, University Hospital Center Zagreb, Zagreb, Croatia
Miran Cvitković
; Department of Pediatrics, University Hospital Center Zagreb, Zagreb, Croatia
Sandro Dessardo
; Department of Pediatrics, University Hospital Center Zagreb, Zagreb, Croatia
Darko Anić
; Cardiothoracic Surgery Department University Hospital Center Zagreb, Zagreb, Croatia
Dražen Belina
; Department of Cardiac Surgery, University of Zagreb School of Medicine, University Hospital Center Zagreb, Zagreb, Croatia
Milivoj Novak
; Department of Pediatrics, University Hospital Center Zagreb, Zagreb, Croatia
Sažetak
Aim To investigate the risk factors and the outcomes of extracorporeal membrane oxygenation (ECMO) in pediatric
patients treated at the University Hospital Center Zagreb,
the largest center in Croatia providing pediatric ECMO.
Methods This retrospective study enrolled all the pediatric patients who required E-CPR from 2011 to 2019. Demographic data, cardiac anatomy, ECMO indications, ECMO
complications, and neurodevelopmental status at hospital
discharge were analyzed.
Results In the investigated period, E-CPR was used in
16 children, and the overall survival rate was 37.5%. Six
patients were in the neonatal age group, 5 in the infant
group, and 5 in the “older” group. There was no significant
difference between the sexes. Four patients had an outof-hospital arrest and 12 had an in-hospital arrest. Twelve
out of 16 patients experienced renal failure and needed
hemodialysis, with 4 out of 6 patients in the survivor group
and 8 out of 10 in the non-survivor group. Survivors and
non-survivors did not differ in E-CPR duration time, lactate
levels before ECMO, time for lactate normalization, and pH
levels before and after the start of ECMO.
Conclusion The similarity of our results to those obtained
by other studies indicates that the ECMO program in our
hospital should be maintained and improved.
Ključne riječi
Hrčak ID:
278056
URI
Datum izdavanja:
29.4.2021.
Posjeta: 705 *