Anest. intenziv. Med. 2015;26(4):213-219

Results of ECMO therapy in cohorts of neonates and childrenIntensive Care Medicine - Original Paper

V. Vobruba^1,*, J. Bělohlávek², V. Rohn⁴, T. Grus³, M. Bašková¹, O. Černá¹, J. Fichtl³, L. Hřídelová¹, J. Hřídel¹, G. Hodková³, P. Klement¹, D. Lorenčík¹, F. Mlejnský³, R. Nečasová¹, D. Nikitinský³, P. Pokorná¹, P. Srnský¹, Z. Švorcová³, I. Vykydal³

¹ Klinika dětského a dorostového lékařství VFN a 1. LF UK

² II. interní klinika - klinika kardiologie a angiologie VFN a 1. LF UK

³ II. chirurgická klinika kardiovaskulární chirurgie VFN a 1. LF UK

⁴ Klinika kardiovaskulární chirurgie 2. LF UK a FN Motol

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-arterial (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 neededin 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.

Keywords: extracorporeal membrane oxygenation; respiratory failure; circulatory failure; neonate; paediatrics

Received: February 18, 2015; Accepted: April 3, 2015; Published: August 1, 2015  Show citation