• Pediatr Crit Care Me · Aug 2016

    Review

    Extracorporeal Membrane Oxygenation for Cardiac Indications in Children.

    • Ravi R Thiagarajan.
    • Department of Pediatrics, Section of Cardiology, Harvard Medical School, Boston Children's Hospital, Boston, MA.
    • Pediatr Crit Care Me. 2016 Aug 1; 17 (8 Suppl 1): S155-9.

    ObjectivesThe objectives of this review are to discuss the use of extracorporeal membrane oxygenation following surgery for congenital heart disease, myocarditis and as a bridge to cardiac transplantation. In addition, the latest in circuit equipment, the management of anticoagulation and blood transfusions, and short- and long-term outcomes are reviewed.Data SourceMEDLINE, PubMed.ConclusionsThe use of extracorporeal membrane oxygenation to support children with heart disease is increasing. There is wide variability in the use and management of extracorporeal membrane oxygenation between centers. Many areas of extracorporeal membrane oxygenation management warrant additional research to inform clinical practice and improve patient outcomes, including the use of extracorporeal membrane oxygenation in patients undergoing single ventricle palliation, optimizing strategies for monitoring and titrating anticoagulation therapies, and efforts directed at minimizing the risk of neurologic injury.

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