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Published on: October 24, 2018
Extracorporeal membrane oxygenation in children: A brief review
Ken Sakurai1, Nitesh Singhal1,2
1Department of Paediatric Intensive Care, The Children's Hospital at Westmead, Sydney, New South Wales, Australia.
Insights
Extracorporeal membrane oxygenation (ECMO) is a life-saving technology for critically ill children, but it requires careful management and long-term follow-up due to potential complications. This review offers a foundational understanding of ECMO principles for paediatric clinicians.
Area of Science:
- Pediatric critical care medicine
- Cardiopulmonary support technologies
Background:
- Extracorporeal membrane oxygenation (ECMO) use has increased due to technological advancements and greater familiarity.
- ECMO is a vital intervention for critically ill children but is invasive and carries risks.
- Post-acute care and rehabilitation are crucial for pediatric patients managed with ECMO.
Purpose of the Study:
- To provide a comprehensive overview of ECMO.
- To establish a fundamental understanding of ECMO principles for pediatric clinicians.
- To highlight the role of pediatric clinicians in managing children undergoing ECMO.
Main Methods:
- This is a review article.
- It synthesizes existing knowledge on ECMO.
- Focuses on principles and clinical relevance.
Main Results:
- ECMO technology has advanced significantly.
- Increased familiarity has led to wider application.
- ECMO necessitates specialized post-acute care and rehabilitation.
Conclusions:
- ECMO is a critical, albeit invasive, therapy for pediatric patients.
- Paediatric clinicians are central to managing ECMO patients, particularly in the long term.
- A clear understanding of ECMO principles is essential for effective clinical management.
Abstract:
With the advancement in technology and increasing familiarity, the use of extracorporeal membrane oxygenation (ECMO) has expanded in the past decade. Although ECMO can be lifesaving for critically ill children, it is an invasive therapy associated with complications that may necessitate rehabilitation and long-term follow-up. Paediatric clinicians play an essential role in managing these children, especially after the acute phase of their illness. This review provides an overview of ECMO and will provide a basic understanding of ECMO and its principles.
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