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Copyright of Florence (1801-464X) is the property of Care Comm s.r.o. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Florence (1801-464X) is the property of Care Comm s.r.o. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: Retrospective evaluation of a sample of 21 neonates and children treated with ECMO. Design: Observational, retrospective with prospective data collection. Setting: Paediatric and neonatal intensive care unit of a teaching hospital. Materials and methods: Between October 2010 and present, extracorporeal membrane oxygenation support was initiated in 21 patients based on meeting the indication criteria (12 neonates, 9 children). According to the etiology and severity of the cardiorespiratory failure, veno-artehal (V-A) ECMO was indicated in 57% of the patients (83% of the neonates, 22% of the children) - the remaining patients were treated with veno-venous (v-V) ECMO. Results: The survival rate was 58% in the neonatal group and 77% among the children. This work contains a brief comparison with some results of other international studies. Due to sample size, no statistical evaluation was performed. Conclusion: The authors demonstrate on the published sample that provision of the discussed care is needed in the Czech Republic. Many parameters of the presented outcomes are - in spite of the small sample size - comparable with the outcomes of the international registry. [ABSTRACT FROM AUTHOR]

Current knowledge of the extracorporeal membrane oxygenation (ECMO) method, which is generally used in children, is reviewed in this article. A change in the spectrum of diseases indicated for ECMO therapy in children has been well documented during the past fifteen years. The number of chronically ill children undergoing ECMO is rising, the percentage of co-morbidity-free survivors out of the total ECMO survivor population has increased, survival among chronically ill children has decreased whereas the total number of treated children by ECMO has increased. The incidence of the veno-venous ECMO modality has risen compared to the venous-arterial ECMO modality which may lead to a significantly higher survival documented in children treated by veno-venous ECMO. [ABSTRACT FROM AUTHOR]