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Related Experiment Videos

Successful gastrorrhaphy on ECMO.

C G Howell1, R M Hatley, J B Davis

  • 1Department of Surgery, Medical College of Georgia, Hospital and Clinics, Augusta 30912-4070.

Journal of Pediatric Surgery
|December 1, 1988
PubMed
Summary
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Infants with intestinal perforation can survive ECMO treatment for respiratory failure. Successful surgical repair (gastrorrhaphy) is possible even with anticoagulation, offering good long-term prognoses.

Area of Science:

  • Neonatal surgery
  • Pediatric critical care
  • Extracorporeal life support

Background:

  • Respiratory failure is a critical condition in neonates.
  • Extracorporeal membrane oxygenation (ECMO) is a life-saving treatment for severe respiratory failure.
  • Gastroduodenal perforations are a rare but serious complication in infants undergoing ECMO.

Observation:

  • Two infants on ECMO with heparin anticoagulation developed gastroduodenal perforations.
  • These infants underwent successful surgical repair (gastrorrhaphy) while on ECMO.
  • Management involved specific measures like near-total cardiopulmonary bypass and controlled anticoagulation.

Findings:

  • 33 out of 40 infants survived ECMO treatment for respiratory failure.
  • Two infants with intestinal perforation treated with ECMO and surgery survived without significant short-term sequelae.

Related Experiment Videos

  • Successful surgical management of intestinal perforation in infants on ECMO is feasible.

    • Implications:

    • Infants with severe respiratory failure and intestinal perforation can be managed surgically with ECMO.
    • This approach offers a potential for survival and good long-term outcomes.
    • Highlights the importance of specialized surgical and critical care management in complex neonatal cases.