摘要:

&NA;Extracorporeal membrane oxygenation (ECMO) has been successful in rescuing near term or term infants in cardiorespiratory failure that results from a reversible disease process. In most cases, only one course of ECMO is needed to save these infants. However, a second course of ECMO may be beneficial in a select group of infants when recurrent persistent pulmonary hypertension develops. Other than abstract form, this is the first report of the use of a second course of ECMO in the literature. The authors report on three infants, two with recurrent persistent pulmonary hypertension secondary to congenital diaphragmatic hernia and one with necrotizing tracheobronchitis after Group B streptococcal sepsis who were treated at their institution with a second course of ECMO. Technical considerations in using a second course of ECMO depend upon the initial vessel cannulation site, time elapsed between cannulations, and the condition of the original artery and vein. By adopting a stenting procedure in those infants whose initial trial off was equivocal, a second cannulation may be prevented in neonatal patients with recurrent persistent pulmonary hypertension.ASAIO Journal1996;42:230‐232.

ISSN:1058-2916    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

&NA;In Japan, liver transplantation from brain dead donors has not yet started. The authors present the first report of a clinical experience with a child with fulminant hepatic failure in whom the combined treatment of plasma exchange and continuous hemodiafiltration using a high‐performance polymethylmethacrylate membrane was used successfully to sustain life for a period of as long as 54 days before liver transplantation from a living donor could be performed. The combination of plasma exchange and continuous hemodiafiltration appeared to maintain blood coagulation and level of consciousness effectively. Although the combined use of plasma exchange and continuous hemodiafiltration is still unsatisfactory as an artificial liver support, the authors suggest that this technique may be useful to support the life of a child who awaits liver transplantation.ASAIO Journal1996;42:233‐235.

ISSN:1058-2916    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

&NA;Extracorporeal membrane oxygenation (ECMO) is widely used in the treatment of respiratory and cardiovascular failure in neonatal patients. The authors present a case of a child with hemoglobin SS disease who was treated with ECMO after acute chest syndrome and acute respiratory distress syndrome developed. They also present data from the Extracorporeal Life Support Organization on this use of ECMO from other centers. To date, there have been 15 pediatric patients with acute chest syndrome treated with ECMO. Survival rate has been 26%. In selected patients with severe disease, ECMO can provide support at a lower mean airway pressure, allow for aggressive pulmonary lavage, and maintain adequate tissue oxygen delivery until the patient is more stable. Patients who might benefit include those with poor ventilation secondary to mucous plugging and barotrauma. The best success with these patients might be anticipated from venoarterial ECMO. Patients with severe cardiac or neurologic deterioration may constitute a group less likely to survive.ASAIO Journal1996;42:236‐239.

ISSN:1058-2916    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

&NA;A case of systemic embolization arising from an akinetic left ventricle in a peripartum cardiomyopathy patient supported with the Abiomed BVS‐5000TMventricular assist device is reported. In an akinetic ventricle, prevention of blood stasis by positioning the atrial cannula tip across the mitral valve to decompress the ventricle may prevent this complication.ASAIO Journal1996;42:240‐241.

ISSN:1058-2916    

出版商:OVID    

年代:1996

数据来源: OVID