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[Paediatric mechanical cardiac assistance]
Insights
Mechanical cardiac assistance is now available for children, including neonates, with cardiorespiratory insufficiency. This study reviews options like Extra-Corporeal Membrane Oxygenation (ECMO), discussing their indications, outcomes, and complications in pediatric patients.
Area of Science:
- Cardiovascular Surgery
- Pediatric Critical Care
- Biomedical Engineering
Context:
- Mechanical cardiac assistance is increasingly used in pediatric patients, including neonates, for cardiorespiratory insufficiency.
- Available options include Intra-Aortic Balloon Pump, Extra-Corporeal Membrane Oxygenation (ECMO), and Ventricular Assist Devices.
- The CHUV Cardiovascular Surgery Department has treated 8 pediatric patients, including 4 neonates, with ECMO since April 1999.
Purpose:
- To describe the available options for mechanical cardiac assistance in pediatric patients.
- To review the indications, contraindications, advantages, disadvantages, results, and complications of these devices.
- To present the experience of the CHUV Cardiovascular Surgery Department with ECMO in neonates and children.
Summary:
- This review covers mechanical cardiac support for pediatric patients with cardiorespiratory failure.
- It details various devices such as ECMO, IABP, and VADs, analyzing their clinical application.
- The study includes a case series of 8 children, 4 neonates, treated with ECMO, highlighting outcomes and complications.
Impact:
- Provides a comprehensive overview of pediatric mechanical cardiac assistance options.
- Informs clinical decision-making for managing critically ill children requiring circulatory support.
- Contributes to the understanding of ECMO efficacy and safety in neonates and children.
Abstract:
The mechanical cardiac assistance, once limited only to the adult patients, is now progressively extended to the paediatric population, including neonates. Currently for children with cardiorespiratory insufficiency requiring for a mechanical assistance there are available several options: Intra-Aortic Balloon Pump, Extra-Corporeal Membrane Oxygenation (ECMO) et le Ventricular Assist Device. From April 1999 in our Department of Cardiovascular Surgery at CHUV 8 children, including 4 neonates, have been treated with ECMO. Indications, contra-indications, advantages, disadvantages, results and complications of the available options of paediatric mechanical cardiac assistance are described.