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[Paediatric mechanical cardiac assistance].

Antonio F Corno, Judith Horisberger, Yves Boone

    Revue Medicale De La Suisse Romande
    |May 17, 2002
    PubMed
    Summary
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    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:

    Related Experiment Videos

    • 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.