Professional paper

Rapid-response extracorporeal membrane oxygenation to support failed conventional cardiopulmonary resuscitation (E-CPR) in children – case reports and literature review

GORAZD KALAN ; Department of Paediatric Surgery and Intensive Care, University Medical Centre Ljubljana, Bohoriceva 20, 1525 Ljubljana, Slovenia
MOJCA GROSELJ-GRENC ; Department of Paediatric Surgery and Intensive Care, University Medical Centre Ljubljana, Bohoriceva 20, 1525 Ljubljana, Slovenia
IVAN VIDMAR ; Department of Paediatric Surgery and Intensive Care, University Medical Centre Ljubljana, Bohoriceva 20, 1525 Ljubljana, Slovenia

Abstract

The use of extracorporeal membrane oxygenation (ECMO) to support failed conventional cardiopulmonary resuscitation e.g. ECMO cardiopulmonary resuscitation (E-CPR) in children has been increasing. We report on the first three patients in whom E-CPR was used at our institution, a low volume surgical centre. Patient’s diagnoses were: influenza B myocarditis, truncus arteriosus two days after complete surgical repair and cardiogenic shock during adenovirus infection with a discovered recoarctation of the aorta. The use of E-CPR rescued 1 patient (33%) out of three. Apart from high volume surgical centres, E-CPR can also be implemented in low volume centres with a trained in-house ECMO team, in selected cases.

Keywords

cardiopulmonary resuscitation; child; extracorporeal membrane oxygenation; refractory cardiac arrest

Hrčak ID:

108796

URI

https://hrcak.srce.hr/108796

Publication date:

1.4.2013.

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