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Surgical Aspects of Pediatric Cardiac Extracorporeal Membrane Oxygenation
Author(s) -
Wollenek Gregor,
Czerny Martin,
Golej Johann
Publication year - 1999
Publication title -
artificial organs
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.684
H-Index - 76
eISSN - 1525-1594
pISSN - 0160-564X
DOI - 10.1046/j.1525-1594.1999.06453.x
Subject(s) - extracorporeal membrane oxygenation , cardiogenic shock , medicine , intensive care medicine , anticipation (artificial intelligence) , surgery , cardiology , myocardial infarction , artificial intelligence , computer science
Because children with severe myocardial dysfunction have limited therapeutic options, mechanical support of a failing heart is a matter of great interest. In the setting of cardiogenic shock or severe low cardiac output and hypoperfusion, extracorporeal membrane oxygenation (ECMO) can produce decisive improvements. The criteria for successful treatment include appropriate patient selection, improved surgical techniques and experience, higher recognition and anticipation of complications, and minimized delay in initiation of ECMO. Because the need for mechanical circulatory support may arise pre‐, intra‐, and postoperatively, every pediatric cardiac surgeon must be familiar with the principles and the surgical aspects of ECMO.