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[Extracorporeal assistance in paediatric intensive care]
1Service de chirurgie thoracique et cardiovasculaire, hôpital de la Timone, Marseille.
Archives Des Maladies Du Coeur Et Des Vaisseaux
|June 22, 2005
Summary
Extracorporeal circulatory assistance is beneficial for critically ill children, especially after heart surgery or awaiting transplants. This method offers a vital support when conventional treatments fail, improving survival rates.
Area of Science:
- Pediatric critical care medicine
- Cardiovascular surgery
- Extracorporeal life support
Context:
- Extracorporeal assistance is frequently utilized in intensive care settings.
- A 3-year retrospective study was conducted to evaluate its efficacy.
- Patient records from January 2002 to January 2005 were analyzed.
Purpose:
- To evaluate the outcomes of extracorporeal assistance in pediatric intensive care.
- To analyze the methods, indications, morbidity, and mortality associated with its use.
Summary:
- 24 circulatory assistance procedures were performed on 20 pediatric patients (median age 5 months).
- Indications included post-cardiotomy cardio-respiratory failure (n=16), pure respiratory failure (n=1), and pre-transplant/recovery (n=3).
- Successful discontinuation was achieved in 80% of patients, with a 20% mortality rate during assistance. No neurological sequelae were observed in survivors.
Impact:
- Circulatory assistance is a valuable tool for pediatric patients with refractory cardio-respiratory failure.
- It plays a crucial role in managing post-operative complications in pediatric cardiac surgery.
- This support is vital for patients awaiting heart transplantation, offering a bridge to recovery or definitive treatment.