ECPR for prolonged Pediatric Cardiac Arrest, an outcome without major neurological compromise
Pediatric in-hospital cardiac arrest (IHCA) has been reported in 1–3% of pediatric intensive care unit (ICU) admissions and up to 6% of children admissions to the cardiac ICU. In the last 25 years, the survival to hospital discharge after pediatric IHCA has improved from 9% to 13.7% up to 35%. The i...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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EDP Sciences
2023-12-01
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| Series: | The Journal of ExtraCorporeal Technology |
| Subjects: | |
| Online Access: | https://ject.edpsciences.org/articles/ject/full_html/2023/04/ject230012/ject230012.html |
| _version_ | 1797294828514443264 |
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| author | Gutiérrez-Soriano Laura Becerra Zapata Eduardo Maya Trujillo Nicolas Franco Gruntorad German Andres Hurtado Peña Pedro |
| author_facet | Gutiérrez-Soriano Laura Becerra Zapata Eduardo Maya Trujillo Nicolas Franco Gruntorad German Andres Hurtado Peña Pedro |
| author_sort | Gutiérrez-Soriano Laura |
| collection | DOAJ |
| description | Pediatric in-hospital cardiac arrest (IHCA) has been reported in 1–3% of pediatric intensive care unit (ICU) admissions and up to 6% of children admissions to the cardiac ICU. In the last 25 years, the survival to hospital discharge after pediatric IHCA has improved from 9% to 13.7% up to 35%. The improvement in outcomes was attributed in part to the application of ECMO as a rescue strategy when prolonged conventional CPR cannot restore spontaneous circulation. We report a case of a 4-month-old patient with a history of ventricular and septal defects, with left to right shunt and enlargement of left heart chambers that underwent surgery for the closure of the atrial and septal defects, and experienced complications that led to the use of ECMO in response to a prolonged cardiac arrest. |
| first_indexed | 2024-03-07T21:37:32Z |
| format | Article |
| id | doaj.art-6315e576538c4a9b997d70aa31d2ca8f |
| institution | Directory Open Access Journal |
| issn | 0022-1058 2969-8960 |
| language | English |
| last_indexed | 2024-03-07T21:37:32Z |
| publishDate | 2023-12-01 |
| publisher | EDP Sciences |
| record_format | Article |
| series | The Journal of ExtraCorporeal Technology |
| spelling | doaj.art-6315e576538c4a9b997d70aa31d2ca8f2024-02-26T11:28:10ZengEDP SciencesThe Journal of ExtraCorporeal Technology0022-10582969-89602023-12-0155419720010.1051/ject/2023019ject230012ECPR for prolonged Pediatric Cardiac Arrest, an outcome without major neurological compromiseGutiérrez-Soriano Laura0Becerra Zapata Eduardo1Maya Trujillo Nicolas2Franco Gruntorad German Andres3Hurtado Peña Pedro4Cardiovascular Anesthesiologist Anesthesiology Department, Fundación CardioinfantilAnesthesiology Department, Fundación CardioinfantilAnesthesiology Department, Fundación CardioinfantilAnesthesiology Department, Fundación CardioinfantilAnesthesiology Department, Hospital Universitario San IgnacioPediatric in-hospital cardiac arrest (IHCA) has been reported in 1–3% of pediatric intensive care unit (ICU) admissions and up to 6% of children admissions to the cardiac ICU. In the last 25 years, the survival to hospital discharge after pediatric IHCA has improved from 9% to 13.7% up to 35%. The improvement in outcomes was attributed in part to the application of ECMO as a rescue strategy when prolonged conventional CPR cannot restore spontaneous circulation. We report a case of a 4-month-old patient with a history of ventricular and septal defects, with left to right shunt and enlargement of left heart chambers that underwent surgery for the closure of the atrial and septal defects, and experienced complications that led to the use of ECMO in response to a prolonged cardiac arrest.https://ject.edpsciences.org/articles/ject/full_html/2023/04/ject230012/ject230012.htmlpediatrics extracorporeal membrane oxygenationcardiac arrestextracorporeal cardiopulmonary resuscitationischemic preconditioningcongenital heart diseasepostoperative care |
| spellingShingle | Gutiérrez-Soriano Laura Becerra Zapata Eduardo Maya Trujillo Nicolas Franco Gruntorad German Andres Hurtado Peña Pedro ECPR for prolonged Pediatric Cardiac Arrest, an outcome without major neurological compromise The Journal of ExtraCorporeal Technology pediatrics extracorporeal membrane oxygenation cardiac arrest extracorporeal cardiopulmonary resuscitation ischemic preconditioning congenital heart disease postoperative care |
| title | ECPR for prolonged Pediatric Cardiac Arrest, an outcome without major neurological compromise |
| title_full | ECPR for prolonged Pediatric Cardiac Arrest, an outcome without major neurological compromise |
| title_fullStr | ECPR for prolonged Pediatric Cardiac Arrest, an outcome without major neurological compromise |
| title_full_unstemmed | ECPR for prolonged Pediatric Cardiac Arrest, an outcome without major neurological compromise |
| title_short | ECPR for prolonged Pediatric Cardiac Arrest, an outcome without major neurological compromise |
| title_sort | ecpr for prolonged pediatric cardiac arrest an outcome without major neurological compromise |
| topic | pediatrics extracorporeal membrane oxygenation cardiac arrest extracorporeal cardiopulmonary resuscitation ischemic preconditioning congenital heart disease postoperative care |
| url | https://ject.edpsciences.org/articles/ject/full_html/2023/04/ject230012/ject230012.html |
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