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Extracorporeal membrane oxygenation promotes survival in children with trauma related respiratory failure

David Skarda1, Jared W Henricksen, Michael Rollins

  • 1Division of Pediatric Surgery at Primary Children's Medical Center, Department of Surgery, University of Utah, Salt Lake City, UT 84113, USA. david.skarda@imail.org

Pediatric Surgery International
|May 15, 2012
PubMed

Insights

Extracorporeal membrane oxygenation (ECMO) can help pediatric trauma patients with lung injuries. This study suggests ECMO is a safe and effective option for managing respiratory failure in these critical cases.

Area of Science:

  • Pediatric critical care medicine
  • Trauma surgery
  • Respiratory physiology

Background:

  • Extracorporeal membrane oxygenation (ECMO) provides cardiopulmonary support.
  • Its use in pediatric traumatic lung injury is less established.
  • Allowing the lung to rest is a potential benefit.

Observation:

  • Three pediatric patients with severe multitrauma and respiratory failure were supported with ECMO.
  • The patients had sustained traumatic lung injuries.
  • The cases were managed at a level 1 tertiary care children's hospital.

Findings:

  • ECMO was utilized for respiratory support in pediatric trauma patients.
  • Outcomes were reviewed from the hospital's experience.
  • Published literature on this patient group is limited.

Implications:

  • ECMO may be a safe and effective treatment for pediatric posttraumatic respiratory failure.
  • This approach allows for lung rest and healing in severe lung injuries.
  • Further research into ECMO for pediatric trauma is warranted.

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