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Concept of 'awake venovenous extracorporeal membrane oxygenation' in pediatric patients awaiting lung transplantation
- Source :
- Pediatric transplantation. 17(3)
- Publication Year :
- 2012
-
Abstract
- In patients awaiting LuTx, MV and ECMO are often the last ways to create a bridge to LuTx. Both interventions are associated with a poor posttransplant outcome and survival rate. To improve the results of these patients, new "bridging-strategies" are necessary. Recent reports demonstrate promising results for the concept of "awake ECMO" in adult patients. To date, no data on this approach in pediatric patients have been available. We therefore describe the use of VV-ECMO as a treatment strategy for RF in awake pediatric patients. It presents our experiences with the first three children treated using this new concept. Mean amount of time on ECMO was 44 days (range, 11.5-109 days). Two patients were successfully bridged to their LuTx. Both are still alive without any recurrences (24 and three months following LuTx). One patient died before a further LuTx after 109 days on ECMO due to adenoviral infection. Although reintubation was necessary in two patients, and total time being awake while on ECMO was
- Subjects :
- Lung Diseases
Male
Risk
medicine.medical_specialty
Time Factors
Adolescent
Cystic Fibrosis
medicine.medical_treatment
Hypertension, Pulmonary
Extracorporeal Membrane Oxygenation
Extracorporeal membrane oxygenation
medicine
Lung transplantation
Humans
In patient
Anesthesia
Wakefulness
Child
Survival rate
Hernia, Diaphragmatic
Transplantation
Adult patients
business.industry
Surgery
surgical procedures, operative
Treatment Outcome
Pediatrics, Perinatology and Child Health
Treatment strategy
Female
business
Hernias, Diaphragmatic, Congenital
Lung Transplantation
Subjects
Details
- ISSN :
- 13993046
- Volume :
- 17
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Pediatric transplantation
- Accession number :
- edsair.doi.dedup.....9546fdfbe20e668a5e4de1acd66d23e6